Organization
PEGASUS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (OWNER)
(800) 555-1212
Entity
Organization
Contact information
Practice address
4400 N FEDERAL HWY STE 34, BOCA RATON, FL 33431-3423
(800) 555-1212
Mailing address
4400 N FEDERAL HWY STE 34, BOCA RATON, FL 33431-3423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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