Organization
MEDLIFE SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL JAMES INGRAM III (OWNER)
(877) 401-2142
Entity
Organization
Contact information
Practice address
1495 FOREST HILL BLVD STE C1, WEST PALM BEACH, FL 33406-6073
(877) 401-2142
(561) 770-3593
Mailing address
1495 FOREST HILL BLVD STE C1, WEST PALM BEACH, FL 33406-6073
(877) 401-2142
(561) 770-3593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up