Organization
EDEN MEDICAL SUPPLY, LLC
Active
Other names
Eden Medical Supply, Wauseon Chiropractic Supply, WAUSEON CHIROPRACTIC SUPPLY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MASCIARELLA (DIRECTOR OF BUSINESS DEVELOPMENT/CE)
(800) 838-3560
Entity
Organization
Contact information
Practice address
7300 N FEDERAL HWY STE 102, BOCA RATON, FL 33487-1631
(800) 838-3560
(866) 589-3366
Mailing address
7300 N FEDERAL HWY STE 102, BOCA RATON, FL 33487-1631
(800) 838-3560
(866) 589-3366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HUMANA
HUMANA
—
Enumeration date
06/18/2020
Last updated
04/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us