# LMC MEDICAL SUPPLIES, INC.

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

## Provider details

- **NPI number:** 1497821946
- **Authorized official:** MS. BONNIE KNICKERBOCKER (CEO)
- **Authorized official phone:** (877) 855-6655

## Contact information

- **Practice address:** 950 PENINSULA CORPORATE CIR STE 1022, BOCA RATON, FL 33487-1385
- **Practice address phone:** (877) 855-6655
- **Practice address fax:** (561) 828-8228
- **Mailing address:** 950 PENINSULA CORPORATE CIR STE 1022, BOCA RATON, FL 33487-1385
- **Mailing address phone:** (877) 855-6655
- **Mailing address fax:** (561) 828-8228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |
| 3336C0003X | Community/Retail Pharmacy | PH25928 | FL | — |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 04/30/2018