Organization
BA AUGUST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTORIA JACKSON (OWNER)
(305) 986-7836
Entity
Organization
Contact information
Practice address
9645 NW 1ST CT APT 1-308, PEMBROKE PINES, FL 33024-6277
(305) 986-7836
Mailing address
PO BOX 260237, PEMBROKE PNES, FL 33026-7237
(305) 986-7836
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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