Provider Demographics
NPI:1215415765
Name:B-FLOW MEDICAL, LLC
Entity Type:Organization
Organization Name:B-FLOW MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:YUSUF
Authorized Official - Last Name:SALAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-710-5577
Mailing Address - Street 1:2615 SCOTT MILL DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-6532
Mailing Address - Country:US
Mailing Address - Phone:904-710-5577
Mailing Address - Fax:904-619-3483
Practice Address - Street 1:2615 SCOTT MILL DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-6532
Practice Address - Country:US
Practice Address - Phone:904-710-5577
Practice Address - Fax:904-619-3483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies