Organization
MEDICAL IMPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE BRAWLEY (OWNER)
(561) 405-0563
Entity
Organization
Contact information
Practice address
201 S 2ND ST STE 210, FORT PIERCE, FL 34950-4328
(772) 242-0379
Mailing address
124 N 2ND ST STE 7, FORT PIERCE, FL 34950-4409
(772) 242-0379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/13/2020
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