# EVERGLADES MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1053157230
- **Authorized official:** DANTE B HINES (PRESIDENT)
- **Authorized official phone:** (954) 532-1740

## Contact information

- **Practice address:** 750 E SAMPLE RD STE 2-206, POMPANO BEACH, FL 33064-5136
- **Practice address phone:** (954) 532-1740
- **Mailing address:** 750 E SAMPLE RD STE 2-206, POMPANO BEACH, FL 33064-5136
- **Mailing address phone:** (954) 598-3010

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2024
- **Last updated:** 08/07/2024