Organization · NPI-2

Brothers & Dreams Corporation

Durable Medical Equipment & Medical Supplies · Port Saint Lucie, FL

NPI number1124209150
StatusActive
Last updated in NPPESSep 2, 2009

Details

NPI
1124209150
Entity type
Organization (NPI-2)
Legal business name
Brothers & Dreams Corporation
Organization subpart
No
Enumeration date
Nov 19, 2007
Last updated
Sep 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies332B00000XFLYes

Other names

  • Basic Medical Supplies (Doing Business As)

Practice location

7592 S Us Highway 1
Port Saint Lucie, FL 34952-1450

Phone 772-878-2057 · Fax 772-878-2058

Mailing address

7592 S Us Highway 1
Port Saint Lucie, FL 34952-1450

Phone 772-878-2057 · Fax 772-878-2058

Authorized official

Oswaldo Herrera
Director
7728782057

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