Organization
BLACK BAG CORPORATION
Active
Other names
Black Bag Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN BARNABAE (PRESIDENT)
(954) 970-0004
Entity
Organization
Contact information
Practice address
6822 NW 20TH AVE, FT LAUDERDALE, FL 33309-1513
(954) 970-0004
(954) 970-9580
Mailing address
6822 NW 20TH AVE, FT LAUDERDALE, FL 33309-1513
(954) 970-0004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312673
FL
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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