# MD HEALTH SOURCE INC

> 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:** 1124635800
- **Authorized official:** MICHAEL JON DUBOIS (OWNER)
- **Authorized official phone:** (800) 793-3122

## Contact information

- **Practice address:** 370 CAMINO GARDENS BLVD STE 210B, BOCA RATON, FL 33432-5818
- **Practice address phone:** (800) 793-3122
- **Mailing address:** 370 CAMINO GARDENS BLVD STE 210B, BOCA RATON, FL 33432-5818
- **Mailing address phone:** (800) 793-3122

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 09/28/2020