# AFFORDABLE MEDICAL & DENTAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1164717831
- **Authorized official:** MR. HAROLD GREGORY POLITE (DIRECTOR OF AMDS)
- **Authorized official phone:** (888) 727-3016

## Contact information

- **Practice address:** 1680 DUNN AVE STE 5, JACKSONVILLE, FL 32218-4788
- **Practice address phone:** (888) 727-3016
- **Practice address fax:** (888) 522-5943
- **Mailing address:** 1680 DUNN AVE, 5, JACKSONVILLE, FL 32218-4782
- **Mailing address phone:** (888) 727-3016
- **Mailing address fax:** (888) 522-5943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2080154249098 | FL | Yes |

## Other

- **Enumeration date:** 06/10/2011
- **Last updated:** 04/11/2019