# SUPREME MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Supreme Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033690094
- **Authorized official:** ROBERT MAYS (OWNER)
- **Authorized official phone:** (954) 378-8525

## Contact information

- **Practice address:** 1761 W HILLSBORO BLVD STE 325, DEERFIELD BEACH, FL 33442-1562
- **Practice address phone:** (954) 378-8525
- **Practice address fax:** (954) 271-4464
- **Mailing address:** 4613 N UNIVERSITY DR \# 443, CORAL SPRINGS, FL 33067-4602
- **Mailing address phone:** (954) 803-1294
- **Mailing address fax:** (954) 271-4464

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2018
- **Last updated:** 10/09/2020