# LAYNE MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1699275891
- **Authorized official:** ELIZABETH DE LA CERDA (OWNER)
- **Authorized official phone:** (813) 702-6376

## Contact information

- **Practice address:** 39047 COUNTY ROAD 54, ZEPHYRHILLS, FL 33542
- **Practice address phone:** (813) 702-6376
- **Mailing address:** 39047 COUNTY ROAD 54, ZEPHYRHILLS, FL 33542-6410

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2018
- **Last updated:** 08/21/2018