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Organization
T.D. MEDICAL LLC
Active
Organization
T.D. MEDICAL LLC
Active
Other names
Reliable Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
(629) 252-8211
Entity
Organization
Contact information
Practice address
12323 SW 55TH ST STE 1004, COOPER CITY, FL 33330-3312
(954) 921-9099
(954) 921-1937
Mailing address
9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1618
(629) 252-8211
(763) 255-3972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
596
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
596
FL
Other
Enumeration date
01/26/2006
Last updated
06/04/2026
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