Organization
DURABLE MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON RICHARD MOULTON (VICE PRESIDENT)
(954) 561-5010
Entity
Organization
Contact information
Practice address
2717 E OAKLAND PARK BLVD, STE 202, FORT LAUDERDALE, FL 33306
(954) 561-5010
(954) 561-5210
Mailing address
2717 E OAKLAND PARK BLVD, STE 202, FORT LAUDERDALE, FL 33306
(954) 561-5010
(954) 561-5210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312521AHCA
FL
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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