# PREMIER MEDICAL SUPPLY AND EQUIPMENT LLC

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

## Provider details

- **NPI number:** 1790392884
- **Authorized official:** JONATHAN COLTON (MEMBER MANAGER)
- **Authorized official phone:** (631) 617-1205

## Contact information

- **Practice address:** 1623 EMBASSY DR APT 202, WEST PALM BEACH, FL 33401-1918
- **Practice address phone:** (631) 617-1205
- **Mailing address:** 2028 HARRISON ST STE 201-8, HOLLYWOOD, FL 33020-7845
- **Mailing address phone:** (754) 263-2962

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 12/01/2022