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General NPI Number Information
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NPI Number | 1437033123
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Entity Type | Organization
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Legal Business Name | RELIANT MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 954-288-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 13762 W STATE ROAD 84 STE 167
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City | DAVIE
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State | FL
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Zip | 33325-5305
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Country | US
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Telephone | 954-288-9078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BYRON SKINNER
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Credential | PHARMD
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Telephone | 954-275-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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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 | 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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