Organization
OUTPATIENT MEDICAL SUPPLIES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL OSWALD HONORE (PRESIDENT/GENERAL MANAGER)
(954) 439-0142
Entity
Organization
Contact information
Practice address
7481 W OAKLAND PARK BLVD, SUITE 303, TAMARAC, FL 33319-4985
(954) 572-2616
(954) 572-6770
Mailing address
7481 W OAKLAND PARK BLVD, SUITE 303, TAMARAC, FL 33319-4985
(954) 572-2616
(954) 572-6770
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1313022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313022
STATE OF FL HME LICENCE
FL
Enumeration date
08/09/2006
Last updated
11/29/2007
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