# S & T MEDICAL SUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Mobility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508045105
- **Authorized official:** MS. NATALIA PROHOROVA (VICE PRESIDENT)
- **Authorized official phone:** (561) 364-2600

## Contact information

- **Practice address:** 11054 S MILITARY TRL, BOYNTON BEACH, FL 33436-7217
- **Practice address phone:** (561) 364-2600
- **Practice address fax:** (561) 364-2199
- **Mailing address:** 11054 S MILITARY TRL, BOYNTON BEACH, FL 33436-7217
- **Mailing address phone:** (561) 364-2600
- **Mailing address fax:** (561) 364-2199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1644 | FL | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 05/05/2023