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Organization
VANGUARD MEDICAL SUPPLY
Active
Organization
VANGUARD MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT J WAYNE (OWNER)
(973) 714-4037
Entity
Organization
Contact information
Practice address
2651 NW 55TH CT, FORT LAUDERDALE, FL 33309-2650
(561) 819-9624
Mailing address
2651 NW 55TH CT, FORT LAUDERDALE, FL 33309-2650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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