# LIGHTHOUSE MEDICAL SUPPLY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780168831
- **Authorized official:** PAUL WARRAN (MEMBER MGR/OWNER)
- **Authorized official phone:** (561) 215-5067

## Contact information

- **Practice address:** 1700 N DIXIE HWY, STE 114, BOCA RATON, FL 33432
- **Practice address phone:** (888) 275-5636
- **Mailing address:** 1700 N DIXIE HWY, STE 114, BOCA RATON, FL 33432
- **Mailing address phone:** (888) 275-5636

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 01/23/2019