# LIBERATOR MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIBERATOR MEDICAL HOLDINGS, INC
- **Other names:** Liberator Medical Supply, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881698439
- **Legal business name:** LIBERATOR MEDICAL HOLDINGS, INC
- **Authorized official:** MICHAEL JAMES BRESLIN (PRESIDENT / GENERAL MANAGER)
- **Authorized official phone:** (800) 323-0914

## Contact information

- **Practice address:** 1823 SE AIRPORT RD, STUART, FL 34996-4012
- **Practice address phone:** (800) 323-0914
- **Practice address fax:** (877) 730-7796
- **Mailing address:** PO BOX 446, STUART, FL 34995-0446
- **Mailing address phone:** (800) 323-0914
- **Mailing address fax:** (877) 730-7796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | HME372 | FL | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 10/13/2026