Organization
COMPLETE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HETTINGER (VICE PRESIDENT/ OWNER)
(877) 748-1977
Entity
Organization
Contact information
Practice address
11971 NW 37TH ST, CORAL SPRINGS, FL 33065-2500
(877) 748-1977
(877) 748-1985
Mailing address
11971 NW 37TH ST, CORAL SPRINGS, FL 33065-2500
(877) 748-1977
(877) 748-1985
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030810200
—
FL
05
—
0370750
—
OH
05
—
0721816
—
NJ
05
—
100096794
—
WI
05
—
100268770200
—
NE
05
—
1035830
—
VT
05
—
1101614891A
—
MA
05
—
1588652002
—
IA
05
—
1588652002
—
ID
05
—
1588652002
—
ME
05
—
1588652002
—
MI
05
—
1588652002
—
NC
05
—
1588652002
—
RI
05
—
17134030
—
NM
05
—
2178303
—
WA
05
—
300027875
—
IN
05
—
30004676390001
—
KS
05
—
30027875
—
TX
05
—
3015340
—
UT
05
—
3124758
—
NH
05
—
500774457
—
OR
05
—
548264
—
AZ
05
—
580288100
—
MD
05
—
7100631250
—
KY
05
—
9000179349
—
CO
05
—
DM1611
—
SC
Enumeration date
10/10/2005
Last updated
05/19/2025
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