Organization
REMWAY PORT ST LUCIE, LLC
Active
Parent organization
B.S.A.M. HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
B.S.A.M. HOLDINGS INC
Authorized official
MRS. NICOLE MARTINA MAHABIR-HERRERA (DIRECTOR)
(772) 323-2661
Entity
Organization
Contact information
Practice address
525 NW LAKE WHITNEY PL, SUITE 102 BLDG P, PORT ST LUCIE, FL 34986-1605
(772) 323-2661
(772) 323-2666
Mailing address
525 NW LAKE WHITNEY PL, SUITE 102 BLDG P, PORT ST LUCIE, FL 34986-1605
(772) 323-2661
(772) 323-2666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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