Organization
INDEPENDENCE DELIVERED MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE COGLE RPT (CEO)
(561) 628-3154
Entity
Organization
Contact information
Practice address
1928 COMMERCE LN STE 3, JUPITER, FL 33458-5598
(561) 628-3154
(561) 776-9580
Mailing address
1928 COMMERCE LN STE 3, JUPITER, FL 33458-5598
(561) 628-3154
(561) 776-9580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
APPLIED FOR
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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