Organization
PROFOUND MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI MARIE VANIWARDEN (SOLE OWNER)
(877) 710-8181
Entity
Organization
Contact information
Practice address
6343 S CHICKASAW TRL, ORLANDO, FL 32829-8369
(877) 710-8181
(407) 249-5701
Mailing address
PO BOX 691724, ORLANDO, FL 32869-1724
(877) 710-8181
(407) 249-5701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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