Provider Demographics
NPI:1275025587
Name:BMAT RECOVERY SERVICES, LLC
Entity Type:Organization
Organization Name:BMAT RECOVERY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALONDERAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABNER-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-579-8580
Mailing Address - Street 1:7357 120TH AVE N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1463
Mailing Address - Country:US
Mailing Address - Phone:720-579-8580
Mailing Address - Fax:
Practice Address - Street 1:7357 120TH AVE N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-1463
Practice Address - Country:US
Practice Address - Phone:720-579-8580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty