# WICK MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1790436442
- **Authorized official:** JEFFREY JEAN (OWNER)
- **Authorized official phone:** (954) 355-2839

## Contact information

- **Practice address:** 2945 W CYPRESS CREEK RD STE 112, FORT LAUDERDALE, FL 33309-1763
- **Practice address phone:** (954) 440-3013
- **Mailing address:** 2945 W CYPRESS CREEK RD STE 112, FORT LAUDERDALE, FL 33309-1763

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2022
- **Last updated:** 04/14/2023