Organization
SMR MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH SUKHRAJ (OWNER)
(844) 416-9351
Entity
Organization
Contact information
Practice address
10024 S FEDERAL HWY, PORT ST LUCIE, FL 34952-5625
(844) 416-9351
(844) 410-4490
Mailing address
2262 SE WALD ST, PORT ST LUCIE, FL 34984-4739
(844) 416-9351
(844) 410-4490
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
07/30/2019
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