# VANGUARD MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1023386539
- **Authorized official:** MR. BRETT J WAYNE (OWNER)
- **Authorized official phone:** (973) 714-4037

## Contact information

- **Practice address:** 2651 NW 55TH CT, FORT LAUDERDALE, FL 33309-2650
- **Practice address phone:** (561) 819-9624
- **Mailing address:** 2651 NW 55TH CT, FORT LAUDERDALE, FL 33309-2650

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 12/12/2011