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Advantage Infinity Health LLC

Durable Medical Equipment & Medical Supplies in Fort Pierce, FL. Organization (NPI-2).

NPI number1114485406
StatusActive
Last updated in NPPESFeb 25, 2020

Details

NPI
1114485406
Entity type
Organization (NPI-2)
Legal business name
Advantage Infinity Health LLC
Organization subpart
No
Enumeration date
Mar 6, 2019
Certification date
Feb 25, 2020
Last updated
Feb 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

111 N 2nd St Ste 105
Fort Pierce, FL 34950-4413

Phone 772-672-3724

Mailing address

111 N 2nd St Ste 105
Fort Pierce, FL 34950-4413

Phone 772-672-3724

Authorized official

Elyse O'Donnell
Owner
7726723724

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