MEDICARE: Y & Y MEDICALSUPPLY LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1093402752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y & Y MEDICALSUPPLY LLC

Provider Business Mailing Address
First Line	:	2042 MADISON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6912
Country	:	US
Telephone Number	:	305-527-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	2042 MADISON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6912
Country	:	US
Telephone Number	:	305-527-0280
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOIRE MOREJON
Credential	:
Telephone Number	:	305-527-0280

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	04/21/2023

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