# REVOLUTIONARY MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1043638307
- **Authorized official:** MISS BRENDA DAWN HADDEN RN (MANAGING MEMBER)
- **Authorized official phone:** (850) 777-1213

## Contact information

- **Practice address:** 450 VAN PELT LN, PENSACOLA, FL 32505-2532
- **Practice address phone:** (850) 777-1213
- **Practice address fax:** (850) 478-1864
- **Mailing address:** 7465 N PALAFOX ST, PENSACOLA, FL 32503-7077
- **Mailing address phone:** (850) 777-1213
- **Mailing address fax:** (850) 478-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 685961 | FL | Yes |

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 04/03/2014