Organization
AQUAMED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUES GREEN (CEO)
(407) 927-2094
Entity
Organization
Contact information
Practice address
111 E MONUMENT AVE UNIT 407, KISSIMMEE, FL 34741-5774
(888) 533-4794
Mailing address
111 E MONUMENT AVE UNIT 407, KISSIMMEE, FL 34741-5774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
10/20/2023
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