# EDWARDS MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** edwards medical supply llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790577229
- **Authorized official:** JAMAL EDWARDS (CEO)
- **Authorized official phone:** (713) 540-0910

## Contact information

- **Practice address:** 1560 W 11TH ST, RIVIERA BEACH, FL 33404-6509
- **Practice address phone:** (713) 540-0910
- **Mailing address:** 1560 W 11TH ST, RIVIERA BEACH, FL 33404-6509
- **Mailing address phone:** (713) 540-0910

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2025
- **Last updated:** 05/20/2025