Organization
SCOOTER BROTHERS ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIC A ALLEGRETTO (OWNER)
(850) 863-8530
Entity
Organization
Contact information
Practice address
219 RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1574
(850) 863-8530
Mailing address
219 RACETRACK RD NW, FORT WALTON BEACH, FL 32547-1574
(850) 863-8530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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