Organization
LMB MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW BONAVENTURA (OWNER)
(954) 775-0307
Entity
Organization
Contact information
Practice address
9600 W SAMPLE RD STE 203, CORAL SPRINGS, FL 33065-4030
(954) 775-0307
Mailing address
9600 W SAMPLE RD STE 203, CORAL SPRINGS, FL 33065-4030
(954) 775-0307
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
07/02/2020
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