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	1959	FL

General Provider Information

NPI Number	:	1760515472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEEKUN ENTERPRISE,INC

Provider Business Mailing Address
First Line	:	7897 SW JACK JAMES DR
Second Line	:	SUITE A
City	:	STUART
State	:	FL
Zip	:	34997-7200
Country	:	US
Telephone Number	:	772-334-4200
Fax Number	:	772-463-5981

Provider Business Practice Location Address
First Line	:	4401 NORTHLAKE BLVD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6255
Country	:	US
Telephone Number	:	772-334-4200
Fax Number	:	772-463-5981

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID T LECHNER
Credential	:
Telephone Number	:	772-334-4200

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	02/11/2008

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