# T.D. MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reliable Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861462244
- **Authorized official:** KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
- **Authorized official phone:** (629) 252-8211

## Contact information

- **Practice address:** 12323 SW 55TH ST STE 1004, COOPER CITY, FL 33330-3312
- **Practice address phone:** (954) 921-9099
- **Practice address fax:** (954) 921-1937
- **Mailing address:** 9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1618
- **Mailing address phone:** (629) 252-8211
- **Mailing address fax:** (763) 255-3972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | 596 | FL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 596 | FL | — |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 06/04/2026