# FAMILY HOME MEDICAL EQUIPMENT & SUPPLIES, LLC

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

## Provider details

- **NPI number:** 1104215433
- **Authorized official:** BURTON C ROSS (PRESIDENT)
- **Authorized official phone:** (941) 624-0127

## Contact information

- **Practice address:** 1077 INNOVATION AVE, UNIT 105, NORTH PORT, FL 34289-9345
- **Practice address phone:** (941) 624-0127
- **Practice address fax:** (941) 624-6098
- **Mailing address:** 1825 TAMIAMI TRL, SUITE E1, PORT CHARLOTTE, FL 33948-1077
- **Mailing address phone:** (941) 624-0127
- **Mailing address fax:** (941) 624-6098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313208 | FL | Yes |

## Other

- **Enumeration date:** 01/09/2015
- **Last updated:** 01/09/2015