Organization
EMERALD COAST DURABLE MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM IVAN LURIE (MEMBER)
(205) 410-4332
Entity
Organization
Contact information
Practice address
20 W POINT WASHINGTON RD, SANTA ROSA BEACH, FL 32459-5562
(205) 410-4332
Mailing address
347 PINE GROVE RD, ROSWELL, GA 30075-4209
(205) 410-4332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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