MEDICARE: DIRECT BUY 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225113145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT BUY MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	258 SE 6TH AVE STE 9
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5259
Country	:	US
Telephone Number	:	561-951-6727
Fax Number	:	561-819-6475

Provider Business Practice Location Address
First Line	:	258 S E 6TH AVENUE
Second Line	:	9
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5259
Country	:	US
Telephone Number	:	561-951-6727
Fax Number	:	561-819-6474

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DANA KENNETH THOMPSON
Credential	:
Telephone Number	:	561-951-6727

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/22/2020

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