Organization
PEGASUS AIRWAVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE A FRENCH (DIRECTOR OF OPERATIONS)
(954) 975-6808
Entity
Organization
Contact information
Practice address
1180 S.W. 36TH AVE., SUITE 103, POMPANO BEACH, FL 33069
(954) 975-6808
(954) 252-4210
Mailing address
1180 S.W. 36TH AVE., SUITE 103, POMPANO BEACH, FL 33069
(954) 975-6808
(954) 252-4210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004144325
—
CT
05
—
00528668A
—
GA
05
—
011388801
—
TX
05
—
01169240
—
NY
05
—
08002180
—
CO
05
—
0897785
—
OH
05
—
100473190A
—
IN
05
—
1532162
—
MA
05
—
18340001
—
AZ
05
—
193026100
—
MD
05
—
25167400
—
FL
05
—
2874553
—
MI
05
—
9038381
—
WA
05
—
9100192
—
WV
05
—
9108122
—
VA
05
—
9607650
—
AL
05
—
DM0190
—
SC
05
—
DME01951F
—
CA
Enumeration date
05/27/2006
Last updated
11/05/2008
Update your record
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