MD Health Source INC
Durable Medical Equipment & Medical Supplies in Boca Raton, FL. Organization (NPI-2).
NPI number1124635800
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1124635800
- Entity type
- Organization (NPI-2)
- Legal business name
- MD Health Source INC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
370 Camino Gardens Blvd Ste 210bBoca Raton, FL 33432-5818
Phone 800-793-3122
Mailing address
370 Camino Gardens Blvd Ste 210bBoca Raton, FL 33432-5818
Phone 800-793-3122
Authorized official
Michael Jon Dubois
Owner
8007933122
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