Organization
PHYSIOFIT DME LLC
Active
Other names
Alumni Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY JOHN BREAUX B.S. (OWNER)
(985) 381-3811
Entity
Organization
Contact information
Practice address
120 WHITE ROSE DR, RACELAND, LA 70394-2644
(985) 532-2229
(985) 532-2230
Mailing address
120 WHITE ROSE DR, RACELAND, LA 70394-2644
(985) 532-2229
(985) 532-2230
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6211
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6211
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
6211
LA
Other
Enumeration date
05/23/2011
Last updated
07/02/2019
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