MEDICARE: MEDEOR MEDICAL

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	:	1255264735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDEOR MEDICAL

Provider Business Mailing Address
First Line	:	2608 SEMINOLE PALMS DR
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-4253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 SEMINOLE PALMS DR
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-4253
Country	:	US
Telephone Number	:	561-758-3884
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY WATT
Credential	:
Telephone Number	:	561-758-3884

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “MEDEOR MEDICAL ” Practice Location

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