Organization
ELEGANCE MEDICAL SUPPLY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER PRADO (AUTHORIZED OFFICIAL)
(754) 336-1232
Entity
Organization
Contact information
Practice address
8358 W OAKLAND PARK BLVD STE 203D, SUNRISE, FL 33351-7341
(754) 336-1232
Mailing address
8358 W OAKLAND PARK BLVD STE 203D, SUNRISE, FL 33351-7341
(754) 336-1232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/24/2022
Last updated
06/16/2022
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