Black Bag Corporation

NPI 1376611558 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1376611558
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRYAN BRYAN
Position PRESIDENT
Phone (954) 970-0004
Fax (954) 970-9580
Practice Location
6822 NW 20TH AVE
FT LAUDERDALE FL, 33309-1513, US
Phone (954) 970-0004
Fax (954) 970-9580
Business Location
6822 NW 20TH AVE
FT LAUDERDALE FL, 33309-1513, US
Phone (954) 970-0004
Fax
Toxanomy
Taxonomy Code 332B00000X
License State Florida
License Number 1312673
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According to our database, Black Bag Corporation NPI is 1376611558, taxonomy code is 332B00000X and license number is 1312673, license state is located at Florida. Black Bag Corporation physically located at 6822 Nw 20th Ave, Ft Lauderdale FL, 33309-1513. NPI Number 1033115704 has the healthcare provider type.

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1376611558 NPI number is provided on an as is basis without warranty of any kind. 1376611558 is maintained by the National Plan & Provider Enumeration System. The contents of Black Bag Corporation are for informational purposes only.