# MTR MEDICAL SUPPLY INC.

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

## Provider details

- **NPI number:** 1710120464
- **Authorized official:** MR. TODD ROSENTHAL (OWNER/ GENERAL MANAGER)
- **Authorized official phone:** (954) 456-5600

## Contact information

- **Practice address:** 3363 SHERIDAN ST, SUITE 212, HOLLYWOOD, FL 33021-3664
- **Practice address phone:** (954) 456-5600
- **Practice address fax:** (954) 894-1818
- **Mailing address:** 3389 SHERIDAN ST, 547, HOLLYWOOD, FL 33021-3606
- **Mailing address phone:** (954) 456-5600
- **Mailing address fax:** (954) 894-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313559 | FL | Yes |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 03/13/2014