Organization Name: | VANGUARD MEDICAL SUPPLY |
NPI Number: | 1023386539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRETT J WAYNE (OWNER) |
Mailing Address: | 2651 Nw 55th Ct Fort Lauderdale |
State: | FL US |
Postal Code: | 333092650 |
Phone Number: | 5618199624 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |