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Organization
IDEAL LIFE US INC.
Active
Organization
IDEAL LIFE US INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GIOLDBERG (PRESIDENT)
(888) 433-2541
Entity
Organization
Contact information
Practice address
2110 N OCEAN BLVD STE 12D, FORT LAUDERDALE, FL 33305-1947
(888) 433-2541
(416) 489-3009
Mailing address
2110 N OCEAN BLVD STE 12D, FORT LAUDERDALE, FL 33305-1947
(888) 433-2541
(416) 489-3009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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