Envision Life Medical LLC
Durable Medical Equipment & Medical Supplies in Fort Pierce, FL. Organization (NPI-2).
NPI number1992263107
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1992263107
- Entity type
- Organization (NPI-2)
- Legal business name
- Envision Life Medical LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2019
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
101 N Us Highway 1 Ste 207Fort Pierce, FL 34950-4256
Phone 772-228-1190 · Fax 855-205-6117
Mailing address
101 N Us Highway 1 Ste 207Fort Pierce, FL 34950-4256
Phone 772-228-1190 · Fax 855-205-6117
Authorized official
Omar Fermin
Owner
7722281190
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