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Organization
EDEN MEDICAL SUPPLY, LLC
Active
Organization
EDEN MEDICAL SUPPLY, LLC
Active
Other names
Eden Medical Supply, Wauseon Chiropractic Supply, WAUSEON CHIROPRACTIC SUPPLY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MASCIARELLA (DIRECTOR OF BUSINESS DEVELOPMENT/CE)
(800) 838-3560
Entity
Organization
Contact information
Practice address
7300 N FEDERAL HWY STE 102, BOCA RATON, FL 33487-1631
(800) 838-3560
(866) 589-3366
Mailing address
7300 N FEDERAL HWY STE 102, BOCA RATON, FL 33487-1631
(800) 838-3560
(866) 589-3366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/18/2020
Last updated
04/01/2024
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