Organization
JESSE L NELSON IRRV TR AGREEMENT
Active
Other names
Buddy Bike, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY L. PATTERSON (DIRECTOR OF MKTG & BSA DEVELOPMENT)
(786) 489-2453
Entity
Organization
Contact information
Practice address
2775 SUNNY ISLES BLVD STE 118, NORTH MIAMI BEACH, FL 33160-4078
(786) 489-2453
Mailing address
2775 SUNNY ISLES BLVD STE 118, NORTH MIAMI BEACH, FL 33160-4078
(786) 489-2453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
03/27/2012
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