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General NPI Number Information
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NPI Number | 1104252493
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Entity Type | Organization
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Legal Business Name | PALM BEACH COUNTY MEDICAL SUPPLY
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 2393 S CONGRESS AVE SUITE 119
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7628
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Country | US
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Telephone | 888-686-0011
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Fax | 877-849-9990
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Provider Business Mailing Address
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Address Line | 2393 S CONGRESS AVE SUITE 119
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7628
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Country | US
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Telephone | 888-686-0011
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Fax | 877-849-9990
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Authorized Official
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Title or Position | COF/OWNER
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Name | MS. DELORES WILLIAMS WEEKS
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Credential | COF
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Telephone | 888-686-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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