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Organization
LOCATEL STORES OPERATIONS LLC
Active
Organization
LOCATEL STORES OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE RUAH (CEO)
(954) 416-1200
Entity
Organization
Contact information
Practice address
1715 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 416-1200
(954) 416-1216
Mailing address
1715 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 416-1200
(954) 416-1216
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PH20154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02698830-1
—
FL
Enumeration date
01/27/2006
Last updated
11/29/2010
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