# ONE SOURCE MEDICAL SUPPLY 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:** 1205123874
- **Authorized official:** MS. LINDA CHAN (PRESIDENT)
- **Authorized official phone:** (888) 258-7080

## Contact information

- **Practice address:** 1829 PARK LN S, SUITE 8 & 9, JUPITER, FL 33458-8086
- **Practice address phone:** (888) 258-7080
- **Practice address fax:** (888) 881-5950
- **Mailing address:** 1829 PARK LN S, SUITE 8 & 9, JUPITER, FL 33458-8086
- **Mailing address phone:** (888) 258-7080
- **Mailing address fax:** (888) 881-5950

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 07/05/2011