# EKNO SUPPLY LLC

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

## Provider details

- **NPI number:** 1780075192
- **Authorized official:** MR. EARRON STARKS (MANAGER / DIRECTOR)
- **Authorized official phone:** (561) 635-7833

## Contact information

- **Practice address:** 3581 COLLONADE DR, WELLINGTON, FL 33449-8081
- **Practice address phone:** (561) 635-7833
- **Practice address fax:** (561) 792-6568
- **Mailing address:** PO BOX 541765, GREENACRES, FL 33454-1765
- **Mailing address phone:** (561) 635-7833
- **Mailing address fax:** (561) 792-6568

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2015
- **Last updated:** 02/08/2015
