# DEERFIELD MEDICAL SUPPLY CORP

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

## Provider details

- **NPI number:** 1487439634
- **Authorized official:** MR. ALFEAR WRIGHT (PRESIDENT)
- **Authorized official phone:** (916) 212-9987

## Contact information

- **Practice address:** 9800 SE 163RD LN, SUMMERFIELD, FL 34491-5948
- **Practice address phone:** (916) 212-9987
- **Practice address fax:** (888) 962-6462
- **Mailing address:** PO BOX 57, IONE, CA 95640-0057
- **Mailing address phone:** (916) 212-9987
- **Mailing address fax:** (888) 962-6462

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 08/28/2023