Healthcare Provider Details
I. General information
NPI: 1376450122
Provider Name (Legal Business Name): CPAP BIPAP & FEEDING SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2182 NW 77TH TER
PEMBROKE PINES FL
33024-3661
US
IV. Provider business mailing address
2182 NW 77TH TER
PEMBROKE PINES FL
33024-3661
US
V. Phone/Fax
- Phone: 954-549-7672
- Fax:
- Phone: 954-549-7672
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
NADEGE
DELCIN GARCON
Title or Position: CEO
Credential: APRN
Phone: 954-549-7672