Healthcare Provider Details

I. General information

NPI: 1912829029
Provider Name (Legal Business Name): CALLAHAN MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NE 25TH ST UNIT 6
POMPANO BEACH FL
33064-5456
US

IV. Provider business mailing address

500 NE 25TH ST UNIT 6
POMPANO BEACH FL
33064-5456
US

V. Phone/Fax

Practice location:
  • Phone: 786-745-9448
  • Fax:
Mailing address:
  • Phone: 786-745-9448
  • 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: VERONICA CALLAHAN
Title or Position: PRESIDENT
Credential:
Phone: 786-745-9448