Organization
IBEAM MEDICAL FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL F COSTELLO (MANAGER)
(866) 214-4656
Entity
Organization
Contact information
Practice address
1650-302 MARGARET STREET, SUITE 278, JACKSONVILLE, FL 32204-3869
(866) 214-4656
Mailing address
1650-302 MARGARET STREET, SUITE 278, JACKSONVILLE, FL 32204-3869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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