# THE GOOD SHEPHERD MEDICAL EQUIPMENT LLC

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

## Provider details

- **NPI number:** 1174960447
- **Authorized official:** ELIJAH DEMETRIUS (CEO)
- **Authorized official phone:** (727) 807-6969

## Contact information

- **Practice address:** 3080 E BAY DR, SUITE 400B, LARGO, FL 33771-2692
- **Practice address phone:** (727) 807-6969
- **Mailing address:** 9119 RIDGE RD, STE 4, NEW PORT RICHEY, FL 34654-5059

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2013
- **Last updated:** 02/22/2017