# MEDNOVA DME LLC

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

## Provider details

- **NPI number:** 1285561357
- **Authorized official:** GHULAM MUJTABA SHAREEF (OWNER)
- **Authorized official phone:** (201) 820-6973

## Contact information

- **Practice address:** 10700 MYSTIC CIR APT 106, ORLANDO, FL 32836-6619
- **Practice address phone:** (201) 820-6973
- **Mailing address:** 10700 MYSTIC CIR APT 106, ORLANDO, FL 32836-6619
- **Mailing address phone:** (201) 820-6973

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2026
- **Last updated:** 05/05/2026