FLORIDA BLVD MEDICAL SUPPLY INC.; NPI #1124173232

Contact Information

FLORIDA BLVD MEDICAL SUPPLY INC.

710 W PRIEN LAKE RD
108
LAKE CHARLES, LA 70601-8349

Phone: 337-479-0013
Fax: 337-479-0014
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for FLORIDA BLVD MEDICAL SUPPLY INC.

NPI # 1124173232

LBN Legal business name FLORIDA BLVD MEDICAL SUPPLY INC.

Authorized official PRINCE OJI - (ADMIN OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/25/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

3765864-001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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