| Organization Name: | MTR MEDICAL SUPPLY INC. |
| NPI Number: | 1710120464 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD ROSENTHAL (OWNER/ GENERAL MANAGER) |
| Mailing Address: | 3363 Sheridan St Suite 212 Hollywood |
| State: | FL US |
| Postal Code: | 330213664 |
| Phone Number: | 9544565600 |
| Fax Number: | 9548941818 |
| NPI Enumeration Date: | 04/10/2009 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 1313559 |
| 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 |