Organization
IMPACT TECHNOLOGIES GROUP LLC
Active
Other names
ITGMedical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELINA CEJA (CEO)
(561) 317-7546
Entity
Organization
Contact information
Practice address
5401 N HAVERHILL RD, SUITE 125, WEST PALM BEACH, FL 33407-7005
(561) 317-7546
(561) 296-6643
Mailing address
5401 N HAVERHILL RD, SUITE 125, WEST PALM BEACH, FL 33407-7005
(561) 317-7546
(561) 296-6643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2009-00747
FL
335E00000X
Prosthetic/Orthotic Supplier
2009-00747
FL
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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