# ABACOA SUPPLIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abacoa Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477313997
- **Authorized official:** DANIEL SPIVAK (MANAGER)
- **Authorized official phone:** (561) 630-3770

## Contact information

- **Practice address:** 1155 MAIN ST STE 109, JUPITER, FL 33458-5264
- **Practice address phone:** (561) 500-3770
- **Mailing address:** 1155 MAIN ST UNIT 109, JACKSONVILLE, FL 32233-2623
- **Mailing address phone:** (561) 630-3770

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2024
- **Last updated:** 01/28/2025