| NPI | 1235697426 |
|---|---|
| Doing Business As | PROVISIOAM, LLC |
| Entity Type | Organization |
| Authorized Contact | CARLINE PIERRE-LOUIS CENATUS Owner 239-404-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |