Organization
EXPO MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDAE KNIPS (OWNER)
(305) 336-1809
Entity
Organization
Contact information
Practice address
12555 ORANGE DR STE 125, DAVIE, FL 33330-4304
(954) 636-3266
Mailing address
12555 ORANGE DR STE 125, DAVIE, FL 33330-4304
(954) 636-3266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
05/24/2024
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