Organization
ENVISION LIFE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR FERMIN (OWNER)
(772) 228-1190
Entity
Organization
Contact information
Practice address
101 N US HIGHWAY 1 STE 207, FORT PIERCE, FL 34950-4256
(772) 228-1190
(855) 205-6117
Mailing address
101 N US HIGHWAY 1 STE 207, FORT PIERCE, FL 34950-4256
(772) 228-1190
(855) 205-6117
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
06/12/2020
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