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NPI Code Detail

MEDICARE: ALL TECH DEPOT, INC.

MEDICARE: ALL TECH DEPOT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1699389445
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL TECH DEPOT, INC.
Provider Business Mailing Address
First Line : 1762 SW DAY ST
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34953-1130
Country : US
Telephone Number : 772-834-1258
Fax Number :
Provider Business Practice Location Address
First Line : 1762 SW DAY ST
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34953-1130
Country : US
Telephone Number : 772-834-1258
Fax Number : 772-446-4410
Authorized Official
Title or Position : CEO, PRESIDENT
Name : STEPHEN B LEMANSKI
Credential :
Telephone Number : 772-834-1258
Provider Enumeration Date : 08/31/2020
Last Update Date : 08/31/2020

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Directions to “ALL TECH DEPOT, INC. ” Practice Location

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