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NPI Code Detail

MEDICARE: EPIC SUPPLIES LLC

MEDICARE: EPIC 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 : 1487597191
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPIC SUPPLIES LLC
Provider Business Mailing Address
First Line : 2825 ROYAL LN APT 270
Second Line :
City : DALLAS
State : TX
Zip : 75229-3625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2825 ROYAL LN APT 270
Second Line :
City : DALLAS
State : TX
Zip : 75229-3625
Country : US
Telephone Number : 786-606-6665
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DISSANAYAKE M DISSANAYAKE
Credential :
Telephone Number : 786-606-6665
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “EPIC SUPPLIES LLC ” Practice Location

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