Organization
DISCOUNT MEDICAL SUPPLY
Active
Other names
Sun Medical/Discount Medical Supply, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN NOEL KUSHIM (PRESIDENT)
(941) 954-9066
Entity
Organization
Contact information
Practice address
2045 12TH ST, SARASOTA, FL 34237-2701
(941) 954-9066
(941) 953-2960
Mailing address
2045 12TH ST, SARASOTA, FL 34237-2701
(941) 954-9066
(941) 953-2960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6880123144618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130120001
MCR
FL
01
—
0275560003
MEDICARE
FL
01
—
0275560004
MEDICARE
FL
05
—
950485100
—
FL
Enumeration date
08/04/2005
Last updated
06/28/2011
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