# LIFESTYLE MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Todd McLaughlin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962599126
- **Authorized official:** MR. TODD MCLAUGHLIN (OWNER)
- **Authorized official phone:** (321) 779-4300

## Contact information

- **Practice address:** 1413 S PATRICK DR, SUITE 3, INDIAN HARBOR BEACH, FL 32937-4373
- **Practice address phone:** (321) 779-4300
- **Practice address fax:** (321) 821-1989
- **Mailing address:** 1413 S PATRICK DR, SUITE 3, INDIAN HARBOR BEACH, FL 32937-4373
- **Mailing address phone:** (321) 779-4300
- **Mailing address fax:** (321) 821-1989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1580136790602 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 07/21/2022