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Organization

INTEGRA MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MEGHANA B PATEL (CEO)
(561) 440-8550
Entity
Organization

Contact information

Practice address
399 CAMINO GARDENS BLVD STE 102, BOCA RATON, FL 33432-5828
(561) 440-8550
Mailing address
800 SE 20TH AVE APT 1111, DEERFIELD BEACH, FL 33441-5195
(561) 440-8550

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109794900
FL
01
1314783
AHCA HME LICENSE
FL
Enumeration date
02/06/2019
Last updated
01/07/2025
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