Elite Medical Supply, LLC
Durable Medical Equipment & Medical Supplies in Lantana, FL. Organization (NPI-2).
NPI number1962048629
StatusActive
Last updated in NPPESApr 14, 2023
Details
- NPI
- 1962048629
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Medical Supply, LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2019
- Certification date
- Apr 14, 2023
- Last updated
- Apr 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
6252 S Congress Ave Ste J2Lantana, FL 33462-2352
Phone 561-469-2090 · Fax 866-488-5553
Mailing address
6252 S Congress Ave Ste J2Lantana, FL 33462-2352
Phone 561-469-2090 · Fax 866-488-5553
Authorized official
Christine Mule'
Managing Member
5612941139
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