Healthcare Provider Details

I. General information

NPI: 1336123678
Provider Name (Legal Business Name): SURF DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 NOVA DR STE 301
DAVIE FL
33317-7404
US

IV. Provider business mailing address

6555 NOVA DR STE 301
DAVIE FL
33317-7404
US

V. Phone/Fax

Practice location:
  • Phone: 305-948-6429
  • Fax: 888-398-3149
Mailing address:
  • Phone: 305-948-6429
  • Fax: 888-398-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1679
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY HARRIS RITTENBERG
Title or Position: CEO
Credential:
Phone: 954-624-8239