Healthcare Provider Details

I. General information

NPI: 1285577924
Provider Name (Legal Business Name): DONACO MEDICAL SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

REGUS/HR HEALTHCARE PATIENT SERVICES 8354 E NORTHFIELD BLVD STE 3700 OFFICE 356
DENVER CO
80238-3135
US

IV. Provider business mailing address

2295 TOWNE LAKE PKWY STE 116
WOODSTOCK GA
30189-5562
US

V. Phone/Fax

Practice location:
  • Phone: 877-832-9663
  • Fax: 877-424-2562
Mailing address:
  • Phone: 877-424-2562
  • Fax: 877-832-9663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SUSAN BRUNE
Title or Position: SR LICENSURE AND CREDENTIALING SPEC
Credential:
Phone: 717-207-7017