Healthcare Provider Details

I. General information

NPI: 1932285947
Provider Name (Legal Business Name): RELIABLE MEDICAL SUPPLIES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 CLINT MOORE RD. SUITE 114
BOCA RATON FL
33487-2846
US

IV. Provider business mailing address

902 CLINT MOORE RD. SUITE 114
BOCA RATON FL
33487-2846
US

V. Phone/Fax

Practice location:
  • Phone: 800-240-8404
  • Fax: 800-918-6092
Mailing address:
  • Phone: 800-240-8404
  • Fax: 800-918-6092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ERIC PAUL
Title or Position: PRESIDENT
Credential:
Phone: 800-240-8404