# HEALTHCARE MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1801170014
- **Authorized official:** MR. DE'ARIS WILLIAM HENRY I (CEO)
- **Authorized official phone:** (609) 453-7704

## Contact information

- **Practice address:** 7257 LEM TURNER RD, SUITE 6, JACKSONVILLE, FL 32208-3371
- **Practice address phone:** (904) 379-4750
- **Practice address fax:** (904) 551-2053
- **Mailing address:** 7257 LEM TURNER RD, SUITE 6, JACKSONVILLE, FL 32208-3371
- **Mailing address phone:** (904) 379-4750
- **Mailing address fax:** (904) 551-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000041543 | FL | Yes |

## Other

- **Enumeration date:** 10/06/2011
- **Last updated:** 10/06/2011