Organization
PRO MEDICAL EAST LLC
Active
Other names
Professional Medical Enterprises LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANCIS DIMARCO CERTIFIED PEDORTHIST (MANAGING PARTNER)
(610) 525-3162
Entity
Organization
Contact information
Practice address
6555 POWERLINE RD, SUITE 101, FORT LAUDERDALE, FL 33309-2067
(954) 677-1011
(954) 677-0922
Mailing address
6555 POWERLINE RD, SUITE 101, FORT LAUDERDALE, FL 33309-2067
(954) 677-1011
(954) 677-0922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000006633
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000246014
HIGHMARK BC/BS
—
01
—
0005164000
KEYSTONE EAST
—
05
—
0018611300003
—
PA
05
—
200068890A
—
OK
05
—
2272955
—
OH
05
—
408730500
—
MD
05
—
4344350
—
MI
05
—
4582539
—
TN
01
—
540H104220
MICHIGAN BC/BS
MI
05
—
625683800
—
MN
05
—
82839600
—
WI
05
—
8704805
—
NJ
05
—
90003799
—
KY
05
—
DM1174
—
SC
01
—
P2723785
AETNA
—
Enumeration date
04/22/2008
Last updated
01/27/2011
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