Organization · NPI-2
Cardiosom, LLC
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies · Palm Beach Gardens, FL
NPI number1356322994
StatusActive
Last updated in NPPESAug 10, 2010
Details
- NPI
- 1356322994
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiosom, LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2005
- Last updated
- Aug 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 1312686 | FL | Yes |
Other names
- Cardiosom Of Palm Beach Gardens (Doing Business As)
Practice location
3385 Burns RdSuite 105
Palm Beach Gardens, FL 33410-4328
Phone 561-804-7636 · Fax 561-804-7501
Mailing address
615 W. Carmel Dr.Suite 100
Carmel, IN 46032-5504
Phone 317-706-1080 · Fax 317-574-8674
Authorized official
Jay Jarrell
President/Coo
3177061080
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