Organization
ERGOACTIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDO BIRNBAUM MD (PRESIDENT)
(305) 359-5031
Entity
Organization
Contact information
Practice address
20725 NE 16TH AVE STE A26, MIAMI, FL 33179-2132
(305) 359-5031
Mailing address
20725 NE 16TH AVE STE A26, MIAMI, FL 33179-2132
(305) 359-5031
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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