# MEDICAL STORE OF PALM BEACH COUNTY

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

## Provider details

- **NPI number:** 1932114667
- **Authorized official:** MR. DAVID C. FIELDING (PRESIDENT AND CEO)
- **Authorized official phone:** (561) 848-5200

## Contact information

- **Practice address:** 300 NORTHPOINT PKWY, SUITE 301, WEST PALM BEACH, FL 33407-1979
- **Practice address phone:** (561) 242-6200
- **Practice address fax:** (561) 242-6240
- **Mailing address:** 5300 EAST AVE, WEST PALM BEACH, FL 33407-2387
- **Mailing address phone:** (561) 848-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1030 | FL | Yes |
| 332BC3200X | Customized Equipment (DME) | 1030 | FL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 01/15/2013