Healthcare Provider Details
I. General information
NPI: 1467332452
Provider Name (Legal Business Name): ZENIGLU MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1860 FOREST HILL BLVD STE 205
WEST PALM BEACH FL
33406-6086
US
IV. Provider business mailing address
1860 FOREST HILL BLVD STE 205
WEST PALM BEACH FL
33406-6086
US
V. Phone/Fax
- Phone: 561-881-6331
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GERMAN
FELIPE
ESCOBAR GOMEZ
Title or Position: OWNER
Credential:
Phone: 561-881-6331