# SKYBRIDGE MED SUPPLY LLC

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

## Provider details

- **NPI number:** 1366199481
- **Authorized official:** KENNETH CHRYSOSTOME (OWNER)
- **Authorized official phone:** (561) 762-4440

## Contact information

- **Practice address:** 111 E MONUMENT AVE UNIT 405, KISSIMMEE, FL 34741-5774
- **Practice address phone:** (800) 488-7326
- **Practice address fax:** (321) 250-5461
- **Mailing address:** 111 E MONUMENT AVE UNIT 405, KISSIMMEE, FL 34741-5774

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2022
- **Last updated:** 03/08/2022