# VILLAGE MEDICAL SUPPLIES, INC.

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

## Provider details

- **NPI number:** 1801109707
- **Authorized official:** MR. TIMOTHY CRACCHIOLO (PRESIDENT)
- **Authorized official phone:** (561) 912-0099

## Contact information

- **Practice address:** 751 PARK OF COMMERCE DR, SUITE 122, BOCA RATON, FL 33487-3626
- **Practice address phone:** (561) 912-0099
- **Practice address fax:** (561) 912-0098
- **Mailing address:** 751 PARK OF COMMERCE DR, SUITE 122, BOCA RATON, FL 33487-3626
- **Mailing address phone:** (561) 912-0099
- **Mailing address fax:** (561) 912-0098

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 04/15/2011