# MUSC MEDICAL

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

## Provider details

- **NPI number:** 1629773395
- **Authorized official:** TASHA MUSCARELLA (OWNER)
- **Authorized official phone:** (772) 236-7213

## Contact information

- **Practice address:** 1903 S 25TH ST STE 105, FORT PIERCE, FL 34947-4740
- **Practice address phone:** (772) 236-7213
- **Practice address fax:** (772) 494-6715
- **Mailing address:** 1903 S 25TH ST STE 105, FORT PIERCE, FL 34947-4740
- **Mailing address phone:** (772) 236-7213
- **Mailing address fax:** (727) 494-6715

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2023
- **Last updated:** 09/22/2025