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Organization
MIGUN OF THE TREASURE COAST L.L.C.
Active
Organization
MIGUN OF THE TREASURE COAST L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK RUSSELL (OWNER)
(248) 921-6659
Entity
Organization
Contact information
Practice address
2311 NW FEDERAL HWY, STUART, FL 34994-9311
(248) 921-6659
(772) 692-2384
Mailing address
2311 N W FEDERAL HIGHWAY, STUART, FL 34994
(248) 921-6659
(772) 692-2384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
02/23/2007
Last updated
07/21/2022
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