# HEARTLAND MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Pharmacy & Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457494155
- **Authorized official:** ROBERT E. DUNCAN R.PH. (PRESIDENT)
- **Authorized official phone:** (863) 385-7673

## Contact information

- **Practice address:** 204 US 27 S, LAKE PLACID, FL 33852-7900
- **Practice address phone:** (863) 465-0024
- **Practice address fax:** (863) 465-9656
- **Mailing address:** 6360 US HIGHWAY 27 N, SEBRING, FL 33870-1225
- **Mailing address phone:** (863) 386-0081
- **Mailing address fax:** (863) 385-5118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH15581 | FL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | PH15581 | FL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | PH15581 | FL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | PH15581 | FL | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 04/15/2008
