Organization
PATRIOT MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DEGENNARO (OWNER)
(440) 547-3151
Entity
Organization
Contact information
Practice address
21891 FORBES RD STE 104, OAKWOOD VILLAGE, OH 44146-5401
(440) 547-3151
(440) 729-3633
Mailing address
21891 FORBES RD, OAKWOOD VILLAGE, OH 44146-5401
(440) 547-3151
(440) 729-3633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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