# INNOVATIVE SUPPLIES, LLC

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

## Provider details

- **NPI number:** 1285113878
- **Authorized official:** MR. ANDRZEJ SZYGIEL (MGR)
- **Authorized official phone:** (267) 454-4131

## Contact information

- **Practice address:** 399 CAMINO GARDENS, STE 303, BOCA RATON, FL 33432
- **Practice address phone:** (561) 465-5900
- **Mailing address:** 399 CAMINO GARDENS, STE 303, BOCA RATON, FL 33432

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2018
- **Last updated:** 01/16/2019