Organization
BRO-MAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE BROCCO (PRESIDENT)
(615) 804-4891
Entity
Organization
Contact information
Practice address
296 LAKE TERRACE DR, HENDERSONVILLE, TN 37075-5123
(615) 804-4891
Mailing address
296 LAKE TERRACE DR, HENDERSONVILLE, TN 37075-5123
(615) 804-4891
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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