Organization · Type 2 NPI
Florida BLVD Medical Supply Inc.
Customized Equipment (DME) · Lake Charles, LA
NPI number
1124173232
Active
Practice location
710 W Prien Lake Rd, 108
Lake Charles, LA 70601-8349
Fax (337) 479-0014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 3765864-001 (LA) |
Customized Equipment (DME): Definition to come...
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About NPI 1124173232
Florida BLVD Medical Supply Inc.'s National Provider Identifier is 1124173232, issued on Jan 25, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 22, 2020.