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Organization
828 US LLC
Active
Organization
828 US LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRILL TARANOV (GENERAL MANAGER)
(239) 722-1226
Entity
Organization
Contact information
Practice address
10600 CHEVROLET WAY STE 217, ESTERO, FL 33928-4422
(239) 722-1226
Mailing address
10600 CHEVROLET WAY STE 217, ESTERO, FL 33928-4422
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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