# BA AUGUST LLC

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

## Provider details

- **NPI number:** 1861374373
- **Authorized official:** SHANTORIA JACKSON (OWNER)
- **Authorized official phone:** (305) 986-7836

## Contact information

- **Practice address:** 9645 NW 1ST CT APT 1-308, PEMBROKE PINES, FL 33024-6277
- **Practice address phone:** (305) 986-7836
- **Mailing address:** PO BOX 260237, PEMBROKE PNES, FL 33026-7237
- **Mailing address phone:** (305) 986-7836

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2025
- **Last updated:** 07/24/2025