Healthcare Provider Details

I. General information

NPI: 1740114891
Provider Name (Legal Business Name): ACTIVE PATH MEDICAL SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8750 NW 38TH ST APT 151
SUNRISE FL
33351-1503
US

IV. Provider business mailing address

950 S PINE ISLAND RD STE 150A
PLANTATION FL
33324-3918
US

V. Phone/Fax

Practice location:
  • Phone: 954-275-9869
  • Fax:
Mailing address:
  • Phone:
  • 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: ARSHAD JAMAL
Title or Position: OWNER
Credential:
Phone: 954-275-9869