Jesse L Nelson Irrv Tr Agreement
NPI #1316211139 in North Miami Beach, Florida
Provider Information
- NPI Number
- 1316211139
- Entity Type
- Organization
- Organization Name
- Jesse L Nelson Irrv Tr Agreement
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 24, 2012
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 2775 SUNNY ISLES BLVD STE 118
- State
- Florida
- ZIP Code
- 33160-4078
- Phone
- (786) 489-2453
Authorized Official
- Name
- MS. SHELLEY L. PATTERSON
- Title
- DIRECTOR OF MKTG & BSA DEVELOPMENT
- Phone
- (786) 489-2453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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