# WILTON MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** wilton medical supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174260509
- **Authorized official:** VIKASH NEGANDHI (CEO)
- **Authorized official phone:** (352) 207-9923

## Contact information

- **Practice address:** 2 S UNIVERSITY DR STE 110, PLANTATION, FL 33324-3305
- **Practice address phone:** (352) 207-9923
- **Practice address fax:** (888) 513-5299
- **Mailing address:** 2 S UNIVERSITY DR STE 110, PLANTATION, FL 33324-3305
- **Mailing address phone:** (352) 207-9923
- **Mailing address fax:** (888) 513-5299

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2022
- **Last updated:** 05/17/2024
