MEDICARE: DANTO K MEDICAL SUPPLIES SERVICES 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	:	1265366983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANTO K MEDICAL SUPPLIES SERVICES LLC

Provider Business Mailing Address
First Line	:	3517 SW 169TH TER
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4567
Country	:	US
Telephone Number	:	989-402-1073
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 SE 21ST AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7226
Country	:	US
Telephone Number	:	419-592-2386
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS J FERNANDEZ
Credential	:
Telephone Number	:	989-402-1073

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/10/2026

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