Organization
MEDICARE ADVANTAGE TECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSTON FELIX DEVISSER (OWNER/MEMBER)
(804) 339-5746
Entity
Organization
Contact information
Practice address
4821 SHADY GROVE RD, GLEN ALLEN, VA 23059-6004
(804) 339-5746
(804) 612-8671
Mailing address
4821 SHADY GROVE RD, GLEN ALLEN, VA 23059-6004
(804) 339-5746
(804) 612-8671
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S5034840
VA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
About Stedi
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