Organization
POWERMAG THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANDERLEI GONCALVES (PRESIDENT)
(407) 509-0784
Entity
Organization
Contact information
Practice address
3750 W COLONIAL DR # 2, ORLANDO, FL 32808-7906
(407) 480-2175
Mailing address
3750 W COLONIAL DR # 2, ORLANDO, FL 32808-7906
(407) 480-2175
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/18/2023
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