Organization
MEDICAL STORE OF PALM BEACH COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C. FIELDING (PRESIDENT AND CEO)
(561) 848-5200
Entity
Organization
Contact information
Practice address
300 NORTHPOINT PKWY, SUITE 301, WEST PALM BEACH, FL 33407-1979
(561) 242-6200
(561) 242-6240
Mailing address
5300 EAST AVE, WEST PALM BEACH, FL 33407-2387
(561) 848-5200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1030
FL
332BC3200X
Customized Equipment (DME)
1030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030998200
—
FL
Enumeration date
07/30/2006
Last updated
01/15/2013
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