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Organization
PROLENCE MEDICAL SUPPLIES & EQUIPMENTS LLC
Active
Organization
PROLENCE MEDICAL SUPPLIES & EQUIPMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY KEVIN ETIENNE (PRESIDENT)
(718) 865-6623
Entity
Organization
Contact information
Practice address
5233 NW 33RD AVE, FORT LAUDERDALE, FL 33309-6302
(954) 533-3291
(954) 533-4805
Mailing address
5233 NW 33RD AVE, FORT LAUDERDALE, FL 33309-6302
(954) 533-3291
(954) 533-4805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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