Southeastern Dme LLC
NPI #1629573134 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1629573134
- Entity Type
- Organization
- Organization Name
- Southeastern Dme LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 27, 2018
- Last Updated
- May 17, 2018
Practice Location
- Address
- 200 S INDIAN RIVER DR STE 300
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34950
- Phone
- (772) 460-6091
Authorized Official
- Name
- REINALDO WILSON
- Title
- OWNER
- Phone
- (336) 740-0899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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