MEDICARE: J AND M MEDICAL SUPPLIES

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	:	1073789897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J AND M MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	PO BOX 110487
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-0487
Country	:	US
Telephone Number	:	347-432-8608
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 CLEMATIS ST STE 3000
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-4609
Country	:	US
Telephone Number	:	347-432-8608
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL BRACH
Credential	:
Telephone Number	:	347-432-8608

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	05/01/2008

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