# PROFOUND MEDICAL EQUIPMENT, INC.

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

## Provider details

- **NPI number:** 1891026324
- **Authorized official:** MS. TERRI MARIE VANIWARDEN (SOLE OWNER)
- **Authorized official phone:** (877) 710-8181

## Contact information

- **Practice address:** 6343 S CHICKASAW TRL, ORLANDO, FL 32829-8369
- **Practice address phone:** (877) 710-8181
- **Practice address fax:** (407) 249-5701
- **Mailing address:** PO BOX 691724, ORLANDO, FL 32869-1724
- **Mailing address phone:** (877) 710-8181
- **Mailing address fax:** (407) 249-5701

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 01/22/2010
