Provider Demographics
NPI:1285071696
Name:AQUAMAR VENTURES INC
Entity type:Organization
Organization Name:AQUAMAR VENTURES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-801-1400
Mailing Address - Street 1:2361 VISTA PKWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2779
Mailing Address - Country:US
Mailing Address - Phone:561-249-7162
Mailing Address - Fax:
Practice Address - Street 1:2361 VISTA PKWY
Practice Address - Street 2:SUITE 7
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2779
Practice Address - Country:US
Practice Address - Phone:561-249-7162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies