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NPI Code Detail

MEDICARE: SADDLEBROOK ENTERPRISE INC

MEDICARE: SADDLEBROOK ENTERPRISE INC
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 : 1396687075
Entity Type Code : Organization
Provider Name (Legal Business Name) : SADDLEBROOK ENTERPRISE INC
Provider Business Mailing Address
First Line : 447 BROADWAY FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10013-2562
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 176 PALISADE AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-1121
Country : US
Telephone Number : 469-915-5044
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JOHN LEE
Credential :
Telephone Number : 469-915-5044
Provider Enumeration Date : 04/09/2026
Last Update Date : 06/02/2026

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Directions to “SADDLEBROOK ENTERPRISE INC ” Practice Location

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