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Organization

ELMEDICALSUPPLY2023 CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELOY R LEYVA LEYVA (PRESIDENT)
(954) 616-8629
Entity
Organization

Contact information

Practice address
1975 E SUNRISE BLVD STE 527, FORT LAUDERDALE, FL 33304-1409
(954) 616-8629
Mailing address
1975 E SUNRISE BLVD STE 527, FORT LAUDERDALE, FL 33304-1409
(954) 616-8629

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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