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NPI Code Detail

MEDICARE: DV MED SUPPLIES LLC

MEDICARE: DV MED SUPPLIES 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1093395295
Entity Type Code : Organization
Provider Name (Legal Business Name) : DV MED SUPPLIES LLC
Provider Business Mailing Address
First Line : 60 COMMERCE ST STE 325
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3411
Country : US
Telephone Number : 334-300-0409
Fax Number :
Provider Business Practice Location Address
First Line : 60 COMMERCE ST STE 325
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3411
Country : US
Telephone Number : 334-300-0409
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MOHMMED UMER IDREES
Credential :
Telephone Number : 954-864-1297
Provider Enumeration Date : 04/12/2021
Last Update Date : 03/25/2024

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