# GOOD SHEPHERD MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1972690808
- **Authorized official:** LUIS OLIVA (PRESIDENT)
- **Authorized official phone:** (561) 533-0858

## Contact information

- **Practice address:** 7416 S DIXIE HWY, WEST PALM BEACH, FL 33405-4812
- **Practice address phone:** (561) 533-0858
- **Mailing address:** 7416 S DIXIE HWY, WEST PALM BEACH, FL 33405-4812
- **Mailing address phone:** (561) 533-0858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1313135 | FL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/22/2020