# MEDICAL SUPPLY SUPER CENTER

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

## Provider details

- **NPI number:** 1013305374
- **Authorized official:** MR. JOSEPH ANTHONY AMIRA (PRESIDENT)
- **Authorized official phone:** (561) 771-1315

## Contact information

- **Practice address:** 55 SE 2ND AVE, SUITE 120, DELRAY BEACH, FL 33444-3615
- **Practice address phone:** (561) 771-1713
- **Practice address fax:** (561) 245-8563
- **Mailing address:** 55 SE 2ND AVE, SUITE 120, DELRAY BEACH, FL 33444-3615
- **Mailing address phone:** (561) 771-1713
- **Mailing address fax:** (561) 245-8563

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2015
- **Last updated:** 01/08/2015