Organization
SUPERIOR STORES DISCOUNT DISTRIBUTORS, INC.
Active
Other names
SURGICAL WORLD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE HELFAN (SECRETARY)
(954) 983-6523
Entity
Organization
Contact information
Practice address
1751 N 68TH AVE, HOLLYWOOD, FL 33024-3958
(954) 983-6523
(954) 966-6770
Mailing address
1751 N 68TH AVE, HOLLYWOOD, FL 33024-3958
(954) 983-6523
(954) 966-6770
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3201660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677913196
—
FL
05
—
677913198
—
FL
05
—
951066400
—
FL
01
—
R7216
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2006
Last updated
02/27/2012
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