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NPI Code Detail

MEDICARE: PREMIER PLUS MEDICAL SUPPLIES INC

MEDICARE: PREMIER PLUS MEDICAL SUPPLIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1063867828
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER PLUS MEDICAL SUPPLIES INC
Provider Business Mailing Address
First Line : 130 S INDIAN RIVER DR STE 202
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4353
Country : US
Telephone Number : 954-866-0251
Fax Number : 888-519-0084
Provider Business Practice Location Address
First Line : 130 S INDIAN RIVER DR STE 202
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4353
Country : US
Telephone Number : 954-866-0251
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JAMES SELLERS
Credential :
Telephone Number : 954-866-0251
Provider Enumeration Date : 04/29/2016
Last Update Date : 03/27/2018

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Directions to “PREMIER PLUS MEDICAL SUPPLIES INC ” Practice Location

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