Healthcare Provider Details

I. General information

NPI: 1285259333
Provider Name (Legal Business Name): COVENANT MEDICAL SUPPLIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 BANKS RD
MARGATE FL
33063-7702
US

IV. Provider business mailing address

1440 CORAL RIDGE DR # 415
CORAL SPRINGS FL
33071-5433
US

V. Phone/Fax

Practice location:
  • Phone: 954-678-4538
  • Fax: 954-678-4538
Mailing address:
  • Phone: 954-678-4538
  • Fax: 954-678-4538

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: SHARON NEATH
Title or Position: PRESIDENT
Credential:
Phone: 954-678-4538