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NPI Code Detail

MEDICARE: BANDAIDSPLUS, LLC

MEDICARE: BANDAIDSPLUS, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1417335852
Entity Type Code : Organization
Provider Name (Legal Business Name) : BANDAIDSPLUS, LLC
Provider Business Mailing Address
First Line : 327 E WAYNE ST
Second Line : STE-175
City : FORT WAYNE
State : IN
Zip : 46802-2753
Country : US
Telephone Number : 260-450-1046
Fax Number : 260-638-8084
Provider Business Practice Location Address
First Line : 327 E WAYNE ST
Second Line : STE-175
City : FORT WAYNE
State : IN
Zip : 46802-2753
Country : US
Telephone Number : 260-450-1046
Fax Number : 260-638-8084
Authorized Official
Title or Position : PRESIDENT
Name : DR. OMAR M TOUTOUNGI
Credential : M.D.
Telephone Number : 260-450-1046
Provider Enumeration Date : 05/18/2015
Last Update Date : 05/18/2015

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Directions to “BANDAIDSPLUS, LLC ” Practice Location

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