Organization
BRENTWOOD MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL LEE BUTO (PRESIDENT & CEO)
(954) 866-6030
Entity
Organization
Contact information
Practice address
1926 HOLLYWOOD BLVD STE 216, HOLLYWOOD, FL 33020-4538
(954) 866-6030
(954) 686-3789
Mailing address
1926 HOLLYWOOD BLVD STE 216, HOLLYWOOD, FL 33020-4538
(954) 866-6030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
09/09/2022
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