Organization
LIFEEDGE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDEN WAGNER (CEO)
(203) 324-9783
Entity
Organization
Contact information
Practice address
2532 ELLA ST, DELRAY BEACH, FL 33444-2110
(203) 324-9783
Mailing address
2532 ELLA ST, DELRAY BEACH, FL 33444-2110
(203) 324-9783
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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