Organization
GOOD SHEPHERD MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS OLIVA (PRESIDENT)
(561) 533-0858
Entity
Organization
Contact information
Practice address
7416 S DIXIE HWY, WEST PALM BEACH, FL 33405-4812
(561) 533-0858
Mailing address
7416 S DIXIE HWY, WEST PALM BEACH, FL 33405-4812
(561) 533-0858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313135
FL
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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