Organization
COUNTY LINE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL A CASTILLO (PRESIDENT)
(954) 927-1842
Entity
Organization
Contact information
Practice address
2514 HOLLYWOOD BLVD, 200, HOLLYWOOD, FL 33020-6614
(954) 927-1842
(954) 927-1842
Mailing address
2514 HOLLYWOOD BLVD, 200, HOLLYWOOD, FL 33020-6614
(954) 927-1842
(954) 927-1842
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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