Organization
PLATINUM HOME & COMMUNITY MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC ANTHONY VASIL MPT (PRESIDENT)
(440) 229-5822
Entity
Organization
Contact information
Practice address
474270 E STATE ROAD 200, FERNANDINA BEACH, FL 32034-0805
(904) 261-2111
(904) 261-1164
Mailing address
15400 PEARL RD STE 207, STRONGSVILLE, OH 44136-6051
(440) 229-5822
(440) 448-4902
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
08/12/2024
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