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Organization
ULTIMATE DME LLC
Active
Organization
ULTIMATE DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NOVACK (MANAGING MEMBER)
(407) 367-9149
Entity
Organization
Contact information
Practice address
7021 GRAND NATIONAL DR STE 108, ORLANDO, FL 32819-8986
(407) 630-6188
Mailing address
7021 GRAND NATIONAL DR, ORLANDO, FL 32819-8985
(407) 630-6188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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