Organization
XSPORTSMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JAMES BUTTERFIELD (PRESIDENT)
(760) 230-1305
Entity
Organization
Contact information
Practice address
619 S VULCAN AVE STE 104, ENCINITAS, CA 92024-3653
(760) 230-1305
Mailing address
217 HILLCREST DR, ENCINITAS, CA 92024-1526
(760) 230-1305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
71584
CA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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