Organization
ANDREW STREET INC.
Active
Other names
Rent A Knee Walker
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (PRESIDENT)
(321) 256-4645
Entity
Organization
Contact information
Practice address
1070 RAINER DR, STE B, ALTAMONTE SPRINGS, FL 32714-3822
(321) 422-4645
Mailing address
1070 RAINER DR, STE B, ALTAMONTE SPRINGS, FL 32714-3822
(321) 422-4645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R000M
BCBSFL
FL
Enumeration date
11/18/2008
Last updated
07/29/2014
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