Primary Choice Medical Supplies LLC
Durable Medical Equipment & Medical Supplies in Winter Haven, FL. Organization (NPI-2).
Details
- NPI
- 1124568290
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Choice Medical Supplies LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2017
- Last updated
- Jul 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
331 W Central Ave Ste 242Winter Haven, FL 33880-2982
Phone 800-616-0327
Mailing address
4300 N University Dr Ste B101Sunrise, FL 33351-6243
Phone 800-616-0327
Authorized official
Shane Paul Camus
Manager / Owner
8006160327
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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