Organization
SUPERIOR MEDICAL DME & SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE A WILSON (PRESIDENT)
(340) 513-2061
Entity
Organization
Contact information
Practice address
4007 ESTATE DIAMOND RUBY, CHRISTIANSTED, VI 00820-4435
(340) 727-6300
(305) 260-6337
Mailing address
PO BOX 5702, CHRISTIANSTED, VI 00823-5702
(340) 513-2061
(305) 260-6337
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
584492
VI
332BD1200X
Dialysis Equipment & Supplies (DME)
584492
VI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
584492
VI
332BX2000X
Oxygen Equipment & Supplies (DME)
584492
VI
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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