Healthcare Provider Details

I. General information

NPI: 1659979060
Provider Name (Legal Business Name): LTE MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 W ATLANTIC BLVD STE 202
MARGATE FL
33063-5157
US

IV. Provider business mailing address

6101 W ATLANTIC BLVD STE 202
MARGATE FL
33063-5157
US

V. Phone/Fax

Practice location:
  • Phone: 754-999-2400
  • Fax: 754-999-8360
Mailing address:
  • Phone: 754-999-2400
  • Fax: 754-999-8360

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: BARRY LABBE
Title or Position: PRESIDENT
Credential:
Phone: 754-999-2400