# INNOVATIVE DURABLE MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Durable Medical, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003431131
- **Authorized official:** DR. DMITRY SANDLER DPM (OWNER)
- **Authorized official phone:** (305) 864-1373

## Contact information

- **Practice address:** 16400 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-4115
- **Practice address phone:** (305) 864-1373
- **Practice address fax:** (305) 868-3124
- **Mailing address:** 16400 NE 19TH AVE, NORTH MIAMI BEACH, FL 33162-4115
- **Mailing address phone:** (305) 864-1373
- **Mailing address fax:** (305) 868-3124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2020
- **Last updated:** 05/14/2021