Organization
ADVENTURA SICKROOM SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE HATCHER (VP)
(954) 458-1959
Entity
Organization
Contact information
Practice address
136 S FEDERAL HWY, HALLANDALE BEACH, FL 33009-5507
(954) 458-1959
(954) 458-1885
Mailing address
136 S FEDERAL HWY, HALLANDALE BEACH, FL 33009-5507
(954) 458-1959
(954) 458-1885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174
AHCA
FL
Enumeration date
09/23/2005
Last updated
08/22/2020
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