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Organization
D AND E SUPPLIES LLC
Active
Organization
D AND E SUPPLIES LLC
Active
Other names
Medcare Products
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN M GORDON J.D. (PRESIDENT)
(954) 747-5531
Entity
Organization
Contact information
Practice address
4620 N HIATUS RD, SUNRISE, FL 33351-7909
(954) 747-5531
(954) 572-2899
Mailing address
4620 N HIATUS RD, SUNRISE, FL 33351-7909
(954) 747-5531
(954) 572-2899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312768
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1312768
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
1312768
FL
Other
Enumeration date
06/25/2006
Last updated
10/19/2010
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