# BROWARD MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1104417047
- **Authorized official:** OREN GERSHGORIN (OWNER)
- **Authorized official phone:** (305) 713-3859

## Contact information

- **Practice address:** 29 N FEDERAL HWY UNIT B, HALLANDALE BEACH, FL 33009-4338
- **Practice address phone:** (954) 367-7190
- **Mailing address:** 29 N FEDERAL HWY UNIT B, HALLANDALE BEACH, FL 33009-4338
- **Mailing address phone:** (954) 367-7190

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021