Organization
OSTOMY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE EBEL GAREAU (VICE PRESIDENT)
(954) 975-8004
Entity
Organization
Contact information
Practice address
5420 W ATLANTIC BLVD, MARGATE, FL 33063-5209
(954) 975-8004
(954) 973-3141
Mailing address
5420 W ATLANTIC BLVD, MARGATE, FL 33063-5209
(954) 975-8004
(954) 973-3141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0500138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1171
BCBS HEALTH OPTIONS
FL
01
—
SG027558
VISTA
FL
Enumeration date
05/27/2005
Last updated
04/20/2008
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