# IRIDIUM MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1902388853
- **Authorized official:** ROECHARD EBANKS (MEM. MGR)
- **Authorized official phone:** (914) 584-2395

## Contact information

- **Practice address:** 8401 LAKE WORTH RD, STE 215, LAKE WORTH, FL 33467
- **Practice address phone:** (561) 847-2878
- **Mailing address:** 8401 LAKE WORTH RD, STE 215, LAKE WORTH, FL 33467
- **Mailing address phone:** (561) 847-2878

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/06/2018