# EZ SUPPLY

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

## Provider details

- **NPI number:** 1942520739
- **Authorized official:** CINTHIA TOTKA (PRESIDENT)
- **Authorized official phone:** (561) 721-5302

## Contact information

- **Practice address:** 809 WEST CENTRAL BLVD, CAPE CANEVARAL, FL 32920
- **Practice address phone:** (561) 721-5302
- **Practice address fax:** (186) 632-2732
- **Mailing address:** 2013 20TH LN, PALM BEACH GARDENS, FL 33418-3566
- **Mailing address phone:** (561) 721-5302
- **Mailing address fax:** (866) 699-5954

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 07/02/2010