# YAMATO MEDICAL SUPPLY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1073613006
- **Authorized official:** BRADLEY GOLDMAN (OWNER/MANAGING MEMBER)
- **Authorized official phone:** (561) 218-8800

## Contact information

- **Practice address:** 9101 LAKERIDGE BLVD, SUITE 23, BOCA RATON, FL 33496-2181
- **Practice address phone:** (561) 613-2731
- **Practice address fax:** (561) 477-8794
- **Mailing address:** 9101 LAKERIDGE BLVD, SUITE 23, BOCA RATON, FL 33496-2181
- **Mailing address phone:** (561) 613-2731
- **Mailing address fax:** (561) 477-8794

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020