MEDICARE: RELIEF HEALTH SUPPLY, 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
2	332B00000X	Durable Medical Equipment & Medical Supplies	1313615	FL

General Provider Information

NPI Number	:	1538395801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIEF HEALTH SUPPLY, LLC

Provider Business Mailing Address
First Line	:	2901 W CYPRESS CREEK RD
Second Line	:	SUITE 108
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1730
Country	:	US
Telephone Number	:	877-364-2484
Fax Number	:	800-891-8587

Provider Business Practice Location Address
First Line	:	2901 W CYPRESS CREEK RD
Second Line	:	SUITE 108
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1730
Country	:	US
Telephone Number	:	877-364-2484
Fax Number	:	800-891-8587

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	GREG PEREIRA
Credential	:
Telephone Number	:	877-364-2484

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	01/24/2014

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