Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers |
| NPI Number | 1619204161 |
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| LBN Legal business name | MAX MEDICAL LLC | ||||
| Authorized official | MICHAEL ZIOMEK - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/04/2009 | ||||
| Last updated | 07/08/2010 - About 16 years ago | ||||
| Identifiers |
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