Organization
PRIME MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS SITARAS (OWNER)
(561) 588-0707
Entity
Organization
Contact information
Practice address
600 N CONGRESS AVE STE 130, DELRAY BEACH, FL 33445-3433
(561) 588-0707
(561) 588-0747
Mailing address
600 N CONGRESS AVE STE 130, DELRAY BEACH, FL 33445-3433
(561) 588-0707
(561) 588-0747
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004149501
—
FL
Enumeration date
07/14/2011
Last updated
06/06/2022
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