Organization
BROTHERS & DREAMS CORPORATION
Active
Other names
Basic Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSWALDO HERRERA (DIRECTOR)
(772) 878-2057
Entity
Organization
Contact information
Practice address
7592 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-1450
(772) 878-2057
(772) 878-2058
Mailing address
7592 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-1450
(772) 878-2057
(772) 878-2058
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000284400
—
FL
01
—
1313469
AHCA
FL
Enumeration date
11/19/2007
Last updated
09/02/2009
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