Healthcare Provider Details

I. General information

NPI: 1013699263
Provider Name (Legal Business Name): MEDIBUMP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 GATEWAY DR UNIT A
POMPANO BEACH FL
33069-4322
US

IV. Provider business mailing address

2700 GATEWAY DR UNIT A
POMPANO BEACH FL
33069-4322
US

V. Phone/Fax

Practice location:
  • Phone: 954-779-5557
  • Fax:
Mailing address:
  • Phone: 954-779-5557
  • 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: DOVID RENDLER
Title or Position: MANAGER
Credential:
Phone: 718-666-1870