Organization
DIVINITY GROUP, INC.
Active
Other names
Balimmune
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY VIGLIOTTI (VICE PRESIDENT)
(941) 249-1609
Entity
Organization
Contact information
Practice address
1223 ENTERPRISE DR UNIT A, PORT CHARLOTTE, FL 33953-3847
(941) 249-1609
(941) 613-9524
Mailing address
1223 ENTERPRISE DR UNIT A, PORT CHARLOTTE, FL 33953-3847
(941) 249-1609
(941) 613-9524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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