Organization
PELVIC TECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BLACKER (CLINICAL SPECIALIST)
(646) 386-0979
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(646) 386-0979
Mailing address
13345 GOLF CREST CIR, TAMPA, FL 33618-8648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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