Organization Name: | MEDICAL SUPPLY STORE #1 |
NPI Number: | 1851486674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEN ZION KUNCMAN (CEO) |
Mailing Address: | 1831 N University Dr Coral Springs |
State: | FL US |
Postal Code: | 330716001 |
Phone Number: | 9549339137 |
Fax Number: | 9547529447 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 03/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1313370 |
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 |