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Organization
VK SUPPLY CORP
Active
Organization
VK SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALII KACHAN (PRESIDENT)
(304) 244-2843
Entity
Organization
Contact information
Practice address
2881 E OAKLAND PARK BLVD, SUITE 212, FORT LAUDERDALE, FL 33306
(304) 244-2843
(304) 244-2843
Mailing address
2881 E OAKLAND PARK BLVD STE 212, FORT LAUDERDALE, FL 33306-1813
(304) 244-2843
(304) 244-2843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
04/20/2026
Last updated
04/21/2026
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