Organization
EQUILIBRIUM MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY WAXMAN (PRESIDENT)
(954) 455-2190
Entity
Organization
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, SUITE 301, HALLANDALE BEACH, FL 33009-3765
(954) 455-2190
(954) 455-5997
Mailing address
2100 E HALLANDALE BEACH BLVD, SUITE 301, HALLANDALE BEACH, FL 33009-3765
(954) 455-2190
(954) 455-5997
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PO 3232
FL
Other
Enumeration date
05/09/2006
Last updated
11/03/2009
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