MEDICARE: DEPENDABLE INCONTINENCE & SUPPLY, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1407276470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDABLE INCONTINENCE & SUPPLY, INC

Provider Business Mailing Address
First Line	:	3325 GRIFFIN RD
Second Line	:	245
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5500
Country	:	US
Telephone Number	:	954-347-2242
Fax Number	:

Provider Business Practice Location Address
First Line	:	3325 GRIFFIN RD
Second Line	:	245
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5500
Country	:	US
Telephone Number	:	954-347-2242
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JOSHUA RUSKIN
Credential	:
Telephone Number	:	954-347-2242

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	04/17/2014

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