Healthcare Provider Details

I. General information

NPI: 1821170820
Provider Name (Legal Business Name): DME & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8198 SOUTH JOG ROAD SUITE #207
BOYNTON BEACH FL
33472
US

IV. Provider business mailing address

8198 SOUTH JOG ROAD SUITE #207
BOYNTON BEACH FL
33472
US

V. Phone/Fax

Practice location:
  • Phone: 561-740-2045
  • Fax: 561-720-2414
Mailing address:
  • Phone: 561-740-2045
  • Fax: 561-720-2414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 3635
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. IAN NAGLE
Title or Position: DIRECTOR OF OPERATIONS
Credential: PT
Phone: 561-740-2045