MEDICARE: DME MEDICAL SERVICES, 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1235061946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DME MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	6824 283RD ST E
Second Line	:
City	:	MYAKKA CITY
State	:	FL
Zip	:	34251-3300
Country	:	US
Telephone Number	:	937-504-3049
Fax Number	:

Provider Business Practice Location Address
First Line	:	6824 283RD ST E
Second Line	:
City	:	MYAKKA CITY
State	:	FL
Zip	:	34251-3300
Country	:	US
Telephone Number	:	937-504-3049
Fax Number	:

Authorized Official
Title or Position	:	APRN, CLINICAL DIRECTOR
Name	:	DEVA MARIE ELLIS
Credential	:	APRN
Telephone Number	:	937-504-3049

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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