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General NPI Number Information
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NPI Number | 1316057292
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Entity Type | Organization
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Legal Business Name | MEDICAL SUPPLY DEPOT INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 7239 W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33446-1305
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Country | US
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Telephone | 561-499-8181
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Fax | 561-499-6929
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Provider Business Mailing Address
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Address Line | 7239 W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33446-1305
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Country | US
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Telephone | 561-499-8181
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Fax | 561-499-6929
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LUIGI TOSCANO
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Credential |
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Telephone | 561-499-8181
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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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