Organization
LAKEVIEW MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNTER COOK (OWNER)
(919) 727-0277
Entity
Organization
Contact information
Practice address
201 S 2ND ST STE 210, FORT PIERCE, FL 34950-4328
(888) 327-0170
Mailing address
201 S 2ND ST STE 210, FORT PIERCE, FL 34950-4328
(888) 327-0170
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
04/02/2019
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