Kist Medical LLC

Organization Active NPI Oxygen Equipment & Supplies (DME) · Ormond Beach, FL

NPI 1114212446 · NPPES record last updated Jun 15, 2011

Key facts

NPI
1114212446
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
KIST MEDICAL LLC
Practice address
1029 S Nova Rd
Unit D
Ormond Beach, FL 32174-9021
Phone
(386) 233-0075
Fax
(386) 492-4749
NPI assigned
Jun 15, 2011
Organization subpart
No

Authorized official

Name
Mr. Matthew Twers
Title
President
Phone
(386) 233-0075

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

1029 S Nova Rd
Unit D
Ormond Beach, FL 32174-9021

Mailing address

6 Inverray CT
Ormond Beach, FL 32174-8783
Phone (386) 233-0075

Other providers in Ormond Beach, FL

All providers in Ormond Beach, FL · Oxygen Equipment & Supplies (DME) in Florida

Sources for this page

Verify at the official NPI Registry.