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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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