# PRIMARY CHOICE MEDICAL SUPPLIES 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:** 1124568290
- **Authorized official:** SHANE PAUL CAMUS RN (MANAGER / OWNER)
- **Authorized official phone:** (800) 616-0327

## Contact information

- **Practice address:** 331 W CENTRAL AVE STE 242, WINTER HAVEN, FL 33880-2982
- **Practice address phone:** (800) 616-0327
- **Mailing address:** 4300 N UNIVERSITY DR STE B101, SUNRISE, FL 33351-6243
- **Mailing address phone:** (800) 616-0327

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2017
- **Last updated:** 07/11/2019