# DEZARD SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affordable Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578880795
- **Authorized official:** MR. JACKIE DEZARD (OWNER)
- **Authorized official phone:** (786) 273-0802

## Contact information

- **Practice address:** 6700 PINES BLVD, PEMBROKE PINES, FL 33024-7544
- **Practice address phone:** (954) 961-0472
- **Mailing address:** 13478 69TH ST N, WEST PALM BEACH, FL 33412-1921
- **Mailing address phone:** (561) 729-1541

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 04/27/2010