Organization
MED BRACES AND SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCGOEY (MEMBER MANAGER)
(772) 398-7010
Entity
Organization
Contact information
Practice address
1484 SE VILLAGE GREEN DR, PORT ST LUCIE, FL 34952
(772) 398-7010
Mailing address
1484 SE VILLAGE GREEN DR, PORT ST LUCIE, FL 34952
(772) 398-7010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
09/12/2019
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