# MY TOWN MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1033672399
- **Authorized official:** MR. ANDROS RODRIGUEZ CAPOTE (PRESIDENT)
- **Authorized official phone:** (549) 765-6856

## Contact information

- **Practice address:** 10 S NEW RIVER DR E STE 105, FORT LAUDERDALE, FL 33301-2810
- **Practice address phone:** (954) 765-6856
- **Practice address fax:** (954) 208-9037
- **Mailing address:** 10 S NEW RIVER DR E STE 105, FORT LAUDERDALE, FL 33301-2810
- **Mailing address phone:** (954) 765-6856
- **Mailing address fax:** (954) 208-9037

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 04/12/2019