Healthcare Provider Details

I. General information

NPI: 1437033123
Provider Name (Legal Business Name): RELIANT MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US

IV. Provider business mailing address

13762 W STATE ROAD 84 STE 167
DAVIE FL
33325-5305
US

V. Phone/Fax

Practice location:
  • Phone: 954-288-9078
  • Fax:
Mailing address:
  • Phone: 954-288-9078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. BYRON SKINNER
Title or Position: OWNER
Credential: PHARMD
Phone: 954-275-0477