Organization
FLORIDA BLVD MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRINCE N OJI HEALTH PROFFESIONAL (ADMIN OFFICER)
(337) 479-0013
Entity
Organization
Contact information
Practice address
710 W PRIEN LAKE RD, 108, LAKE CHARLES, LA 70601-8349
(337) 479-0013
(337) 479-0014
Mailing address
710 W PRIEN LAKE RD, 108, LAKE CHARLES, LA 70601-8349
(337) 479-0013
(337) 479-0014
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
3765864-001
LA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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