Organization
CABULOG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKY PIERRE (PRESIDENT)
(615) 829-6712
Entity
Organization
Contact information
Practice address
3440 HOLLYWOOD BLVD STE 415, HOLLYWOOD, FL 33021-6933
(615) 829-6712
Mailing address
3440 HOLLYWOOD BLVD STE 415, HOLLYWOOD, FL 33021-6933
(615) 829-6712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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