Organization
IRIDIUM MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROECHARD EBANKS (MEM. MGR)
(914) 584-2395
Entity
Organization
Contact information
Practice address
8401 LAKE WORTH RD, STE 215, LAKE WORTH, FL 33467
(561) 847-2878
Mailing address
8401 LAKE WORTH RD, STE 215, LAKE WORTH, FL 33467
(561) 847-2878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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