Organization
EASY LIFE MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRA SHATKHIN (PRESIDENT)
(954) 986-4294
Entity
Organization
Contact information
Practice address
3625 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6854
(954) 986-4294
Mailing address
3625 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6854
(954) 986-4294
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
11/27/2007
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