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Durable Medical Equipment, Dialysis Supplies
Nursing Facility Supplies, Customized Equipment

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SHIVOAM LLC

Medical Equipment Supplier Yellow Pages

Deland, Florida

Provider NPI: 1134194202

Organization Information:
Organization Name:  SHIVOAM LLC


Practice Location:
319 S WOODLAND BLVD  DELAND, FL 32720 US
Tel: 386-734-3383  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
FLPH11083
N3336C0004XSuppliers
Pharmacy
FLPH11083
Y3336C0003XSuppliers
Pharmacy
FLPH11083

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER-COMMERCIAL NUMBER106451201
DEABT2212304FL01
109020800FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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