Organization
ONE SOURCE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA CHAN (PRESIDENT)
(888) 258-7080
Entity
Organization
Contact information
Practice address
1829 PARK LN S STE 8, JUPITER, FL 33458
(888) 258-7080
(888) 881-5950
Mailing address
1829 PARK LN S STE 8, JUPITER, FL 33458-8086
(888) 258-7080
(888) 881-5950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010213900
—
FL
01
—
R9667
BCBS
FL
Enumeration date
07/01/2005
Last updated
09/06/2018
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