Healthcare Provider Details

I. General information

NPI: 1629981667
Provider Name (Legal Business Name): STANDWELL MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5651 PLUNKETT ST UNIT 6
HOLLYWOOD FL
33023-2343
US

IV. Provider business mailing address

5651 PLUNKETT ST UNIT 6
HOLLYWOOD FL
33023-2343
US

V. Phone/Fax

Practice location:
  • Phone: 305-746-0912
  • Fax:
Mailing address:
  • Phone: 954-696-2167
  • Fax:

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: STLENDY JEAN CHARLES
Title or Position: MANAGER
Credential:
Phone: 305-746-0912