Organization
NEXT LEVEL MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK N. KOKONAS (MEMBER MANAGER)
(954) 653-8313
Entity
Organization
Contact information
Practice address
2900 W CYPRESS CREEK RD STE 6, FT LAUDERDALE, FL 33309-1715
(954) 653-8313
Mailing address
2900 W CYPRESS CREEK RD STE 6, FT LAUDERDALE, FL 33309-1715
(954) 653-8313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314839
—
FL
Enumeration date
01/19/2020
Last updated
10/05/2020
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