Organization
OTB MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MONTOYA (OWNER)
(954) 529-5891
Entity
Organization
Contact information
Practice address
2005 W CYPRESS CREEK RD STE 104A, FORT LAUDERDALE, FL 33309-1835
(954) 529-5891
Mailing address
2005 W CYPRESS CREEK RD STE 104A, FORT LAUDERDALE, FL 33309-1835
(954) 529-5891
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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