Organization
BLADE RELIANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENRICKA TAKEISHA MCSWEENEY PHARMD (OWNER)
(954) 258-9923
Entity
Organization
Contact information
Practice address
2617 CLEVELAND ST, HOLLYWOOD, FL 33020-2924
(954) 258-9923
Mailing address
2617 CLEVELAND ST, HOLLYWOOD, FL 33020-2924
(954) 258-9923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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