Base Medical Supply INC.
Durable Medical Equipment & Medical Supplies in Fort Pierce, FL. Organization (NPI-2).
NPI number1275042483
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1275042483
- Entity type
- Organization (NPI-2)
- Legal business name
- Base Medical Supply INC.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
130 S Indian River Dr Ste 202Fort Pierce, FL 34950-4353
Phone 772-618-1183 · Fax 772-672-3014
Mailing address
130 S Indian River Dr Ste 202Fort Pierce, FL 34950-4353
Phone 772-618-1183 · Fax 772-672-3014
Authorized official
Clifford Todd Monaghan
Chief Executive Officer
7726181183
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