Organization
PERSIST HEALTHCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J LAKE (PRESIDENT)
(866) 473-7748
Entity
Organization
Contact information
Practice address
2 LAWSON AVE, SUITE 2, EAST ROCKAWAY, NY 11518-1700
(866) 473-7747
Mailing address
1500 CORDOVA RD, SUITE 210, FORT LAUDERDALE, FL 33316-2115
(866) 473-7747
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
02/08/2017
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