Organization
INNOVATIVE SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRZEJ SZYGIEL (MGR)
(267) 454-4131
Entity
Organization
Contact information
Practice address
399 CAMINO GARDENS, STE 303, BOCA RATON, FL 33432
(561) 465-5900
Mailing address
399 CAMINO GARDENS, STE 303, BOCA RATON, FL 33432
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
01/16/2019
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