Florida Blvd Medical Supply INC.
Durable Medical Equipment & Medical Supplies, Customized Equipment in Lake Charles, LA. Organization (NPI-2).
NPI number1124173232
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124173232
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Blvd Medical Supply INC.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 3765864-001 | LA | Yes |
Practice location
710 W Prien Lake Rd108
Lake Charles, LA 70601-8349
Phone 337-479-0013 · Fax 337-479-0014
Mailing address
710 W Prien Lake Rd108
Lake Charles, LA 70601-8349
Phone 337-479-0013 · Fax 337-479-0014
Authorized official
Prince N Oji
Admin Officer
3374790013
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