Organization Name: | SUNTREE MEDICAL EQUIPMENT LLC |
NPI Number: | 1972608719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIAHN CLARK (OWNER) |
Mailing Address: | 7640 N Wickham Rd Ste 116 Melbourne |
State: | FL US |
Postal Code: | 329408147 |
Phone Number: | 3212593400 |
Fax Number: | 3212533119 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PH22488 |
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 |