Organization
MAMMON EVANTUIS LLC
Active
Other names
MAMMON EVENTUS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN POLIS (OFFICE MANAGER)
(307) 500-4200
Entity
Organization
Contact information
Practice address
5951 LONDON LEE, TAMARAC, FL 33321-4188
(000) 000-0000
Mailing address
5951 LONDON LEE, TAMARAC, FL 33321-4188
(307) 500-4200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
06/07/2024
Last updated
06/17/2025
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