Healthcare Provider Details

I. General information

NPI: 1730418252
Provider Name (Legal Business Name): 800M DME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2646 SW MAPP ROAD SUITE 305
PALM CITY FL
34990-2758
US

IV. Provider business mailing address

2646 SW MAPP ROAD SUITE 305
PALM CITY FL
34990-2758
US

V. Phone/Fax

Practice location:
  • Phone: 877-614-7551
  • Fax: 877-511-5594
Mailing address:
  • Phone: 877-614-7551
  • Fax: 866-511-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number52528
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. WARREN K TROWBRIDGE
Title or Position: PRESIDENT
Credential:
Phone: 772-486-3439