MEDICARE: VOC MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053816769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOC MEDICAL LLC

Provider Business Mailing Address
First Line	:	200 S INDIAN RIVER DR STE 301
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4332
Country	:	US
Telephone Number	:	772-466-5694
Fax Number	:	800-518-8041

Provider Business Practice Location Address
First Line	:	200 S INDIAN RIVER DR STE 301
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4332
Country	:	US
Telephone Number	:	772-466-5694
Fax Number	:	800-518-8041

Authorized Official
Title or Position	:	OWNER
Name	:	HUNTER ALEXANDER COOK
Credential	:
Telephone Number	:	919-727-0277

Provider Enumeration Date	:	03/26/2018
Last Update Date	:	01/23/2019

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