MEDICARE: TRI COUNTY MEDICAL SUPPLY 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	1312399	FL
2	332BX2000X	Oxygen Equipment & Supplies (DME)	3203993	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1312399	OTHER	FL	HME LICENSE
2	3203993	OTHER	FL	MEDICAL OXYGEN LICENSE

General Provider Information

NPI Number	:	1437101896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI COUNTY MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	SUITE 105
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-961-5164
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	SUITE 105
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-961-5164
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIETHA L MORALES
Credential	:
Telephone Number	:	954-961-5164

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/11/2025

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Directions to “TRI COUNTY MEDICAL SUPPLY INC ” Practice Location

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