MEDICARE: DEREK EARLE 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	:	1265399349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEREK EARLE SERVICES LLC

Provider Business Mailing Address
First Line	:	2917 25TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-3657
Country	:	US
Telephone Number	:	727-400-8049
Fax Number	:

Provider Business Practice Location Address
First Line	:	2917 25TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-3657
Country	:	US
Telephone Number	:	727-400-8049
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEREK EARLE
Credential	:
Telephone Number	:	727-400-8049

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “DEREK EARLE SERVICES LLC ” Practice Location

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