Dura Med Southeast, Inc.
May also be knows as Southland Vital Care
Legal Business Name
Dura Med Southeast, Inc.
Also Known As
Southland Vital Care
NPI Number
1679519854
NPI Type
Organization
Enumeration Date
06/22/2006
Specialties
(Taxonomies)Name
Code
3336C0003X
332BC3200X
332B00000X
3336H0001X
3336L0003X
3336M0002X
332BX2000X
332BP3500X
333600000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Licenses
State
Alabama
License Number
111970
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 190
100 E FRONT ST
City
Evergreen
Evergreen
State
AL
AL
Postal Code
36401-0190
36401-2927
Country
US
US
Telephone Number
(251) 578-1333
(251) 578-1333
Authorized Official
Name
Mr. Jack Floyd
Title or Position
PRESIDENT
Telephone Number
(251) 578-1333
Identifiers
Identifier
515-05269
16252100
Identifier State
AL
Unknown
Identifier Issuer
BCBS
OWCP
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020