Organization
PALM COAST MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONDELLI (PRESIDENT)
(954) 857-9971
Entity
Organization
Contact information
Practice address
1177 HYPOLUXO RD, LANTANA, FL 33462-4244
(954) 857-9971
(954) 302-1355
Mailing address
1177 HYPOLUXO RD, LANTANA, FL 33462-4244
(954) 857-9971
(954) 302-1355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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