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Organization
BLUELINE MEDICAL SUPPLY LLC
Active
Organization
BLUELINE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERSON PETIGNY (OWNER)
(561) 571-6042
Entity
Organization
Contact information
Practice address
2061 NW 2ND AVE STE 102, BOCA RATON, FL 33431-6774
(561) 571-6042
Mailing address
2061 NW 2ND AVE STE 102, BOCA RATON, FL 33431-6774
(561) 571-6042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/02/2020
Last updated
11/23/2020
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