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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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