National Supply Group LLC
Durable Medical Equipment & Medical Supplies in Boca Raton, FL. Organization (NPI-2).
NPI number1801409727
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1801409727
- Entity type
- Organization (NPI-2)
- Legal business name
- National Supply Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
4401 N Dixie HwyBoca Raton, FL 33431-5028
Phone 347-441-8559
Mailing address
4401 N Dixie HwyBoca Raton, FL 33431-5028
Phone 800-496-3534
Authorized official
Michael Henderson
Member Manager
3474418559
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