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Organization
PRO MEDICAL SUPPLY LLC
Active
Organization
PRO MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL RENDON (MANAGER)
(561) 628-1165
Entity
Organization
Contact information
Practice address
2101 VISTA PKWY STE 112, WEST PALM BEACH, FL 33411-2706
(561) 628-1165
Mailing address
2101 VISTA PKWY STE 216, WEST PALM BEACH, FL 33411-2706
(561) 628-1165
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/25/2018
Last updated
07/23/2019
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