# BLUELINE MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558988824
- **Authorized official:** GERSON PETIGNY (OWNER)
- **Authorized official phone:** (561) 571-6042

## Contact information

- **Practice address:** 2061 NW 2ND AVE STE 102, BOCA RATON, FL 33431-6774
- **Practice address phone:** (561) 571-6042
- **Mailing address:** 2061 NW 2ND AVE STE 102, BOCA RATON, FL 33431-6774
- **Mailing address phone:** (561) 571-6042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 11/23/2020