MEDICARE: DEEKUN ENTERPRISE,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	204	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538292396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEEKUN ENTERPRISE,INC

Provider Business Mailing Address
First Line	:	1113 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-334-4200
Fax Number	:	772-463-5981

Provider Business Practice Location Address
First Line	:	1113 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-334-4200
Fax Number	:	772-463-5981

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID LECHNER
Credential	:
Telephone Number	:	772-463-5944

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	04/15/2014

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Directions to “DEEKUN ENTERPRISE,INC ” Practice Location

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