Organization
MEGA MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LYCAN (PRESIDENT)
(561) 840-6566
Entity
Organization
Contact information
Practice address
4910 DYER BLVD, RIVIERA BEACH, FL 33407-1009
(561) 840-6566
Mailing address
4910 DYER BLVD, RIVIERA BEACH, FL 33407-1009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650188501
—
FL
Enumeration date
05/01/2015
Last updated
11/16/2022
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