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Organization
MEDICO BEACHES LLC
Active
Organization
MEDICO BEACHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LANZA (PRINCIPAL)
(682) 237-9811
Entity
Organization
Contact information
Practice address
1015 ATLANTIC BLVD STE 469, ATLANTIC BEACH, FL 32233-3313
(682) 237-9811
Mailing address
1015 ATLANTIC BLVD STE 469, ATLANTIC BEACH, FL 32233-3313
(682) 237-9811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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