Healthcare Provider Details

I. General information

NPI: 1972007482
Provider Name (Legal Business Name): BRACING DIRECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N FEDERAL HWY STE 70
BOCA RATON FL
33431-3430
US

IV. Provider business mailing address

4400 N FEDERAL HWY STE 70
BOCA RATON FL
33431-3430
US

V. Phone/Fax

Practice location:
  • Phone: 561-430-5048
  • Fax: 443-242-7438
Mailing address:
  • Phone: 561-430-5048
  • Fax: 443-242-7438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KRAEMER
Title or Position: OWNER
Credential:
Phone: 443-695-2431