# A&L GOODSOURCE MEDICAL PRODUCTS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOME MEDICAL EQUIPMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417102344
- **Authorized official:** MR. ANGEL R BONILLA HME (GENERAL MANAGER)
- **Authorized official phone:** (321) 972-6906

## Contact information

- **Practice address:** 2290 N RONALD REAGAN BLVD STE 124, LONGWOOD, FL 32750-3534
- **Practice address phone:** (321) 972-6906
- **Practice address fax:** (321) 972-6907
- **Mailing address:** 2290 N RONALD REAGAN BLVD STE 124, LONGWOOD, FL 32750-3534
- **Mailing address phone:** (321) 972-6906
- **Mailing address fax:** (321) 972-6907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313549 | FL | Yes |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 08/10/2009