Individual provider · Type 1 NPI
Liliya Heretsun-Roussonicolos
Durable Medical Equipment & Medical Supplies · Port St. Lucie, FL
NPI number
1407464506
Active
Practice location
1488 SE Village Green Dr
Port St. Lucie, FL 34952-3411
Fax (321) 676-8508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Another provider at this address
Other durable medical equipment & medical supplies providers in Port St. Lucie
- Umawattie SukhrajDurable Medical Equipment & Medical Supplies Port St. Lucie, FL NPI 1669152963
- Suresh SukhrajDurable Medical Equipment & Medical Supplies Port St. Lucie, FL NPI 1801252820
- Brittany June HarrisDurable Medical Equipment & Medical Supplies Port St. Lucie, FL NPI 1851906077
- Sean MuscarellaDurable Medical Equipment & Medical Supplies Port St. Lucie, FL NPI 1962140723
About NPI 1407464506
Liliya Heretsun-Roussonicolos's National Provider Identifier is 1407464506, issued on Jul 15, 2020. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 9, 2020.