# FWL MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013236462
- **Authorized official:** MR. FRANK WAYNE LEATHERBURY II (OWNER)
- **Authorized official phone:** (800) 667-9795

## Contact information

- **Practice address:** 1109 W HIGHWAY 246, BUELLTON, CA 93427-9403
- **Practice address phone:** (800) 667-9795
- **Practice address fax:** (805) 686-9140
- **Mailing address:** PO BOX 6574, SANTA BARBARA, CA 93160-6574
- **Mailing address phone:** (800) 667-9795
- **Mailing address fax:** (805) 686-9140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 101339365 | CA | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 06/17/2010