Organization
PURE ARROGANCY PROSTHESIS SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA COATS (OWNER)
(772) 214-8770
Entity
Organization
Contact information
Practice address
7750 OKEECHOBEE BLVD STE 4425, WEST PALM BEACH, FL 33411-2104
(561) 291-9882
(561) 516-7384
Mailing address
7750 OKEECHOBEE BLVD STE 4425, WEST PALM BEACH, FL 33411-2104
(561) 291-9882
(561) 516-7384
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L18000122273
LLC
—
Enumeration date
03/06/2020
Last updated
03/06/2020
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