Organization
HALLANDALE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHATKHIN (PRESIDENT OWNER)
(954) 981-0710
Entity
Organization
Contact information
Practice address
3060 COUNTRY CLUB LN, HALLANDALE, FL 33009-5118
(954) 981-0710
(954) 981-0610
Mailing address
3060 COUNTRY CLUB LN, HALLANDALE, FL 33009-5118
(954) 981-0710
(954) 981-0610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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