Organization
BERRY ORTHOPEDIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND BERRY L.P.O. C.P.O. (PRESIDENT/ OWNER)
(305) 651-3040
Entity
Organization
Contact information
Practice address
1875 NE 163RD ST, NORTH MIAMI BEACH, FL 33162
(305) 651-3040
(305) 651-3237
Mailing address
PO BOX 540596, OPA LOCKA, FL 33054-0596
(305) 651-3040
(305) 651-3237
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
POR 107
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR 107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019871100
—
FL
Enumeration date
11/07/2007
Last updated
08/29/2018
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