Doctors Lake Sleep And Wellness, LLC
Durable Medical Equipment & Medical Supplies in Fleming Island, FL. Organization (NPI-2).
NPI number1053888024
StatusActive
Last updated in NPPESOct 29, 2018
Details
- NPI
- 1053888024
- Entity type
- Organization (NPI-2)
- Legal business name
- Doctors Lake Sleep And Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2018
- Last updated
- Oct 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
1665 Eagle Harbor Pkwy Ste BFleming Island, FL 32003-4802
Phone 904-264-6700
Mailing address
1665 Eagle Harbor Pkwy Ste BFleming Island, FL 32003-4802
Phone 904-264-6700
Authorized official
Dayn C Boitet
Member
9042646700
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