Organization
FRESNILLO SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE FRESNILLO (PRESIDENT)
(561) 964-7474
Entity
Organization
Contact information
Practice address
4290 10TH AVE N, UNIT 104, LAKE WORTH, FL 33461-2304
(561) 964-7474
(561) 964-7878
Mailing address
4290 10TH AVE N, UNIT 104, LAKE WORTH, FL 33461-2304
(561) 964-7474
(561) 964-7878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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