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NPI Code Detail

MEDICARE: CMO MEDICAL SUPPLY COMPANY LLC

MEDICARE: CMO MEDICAL SUPPLY COMPANY 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 : 1518578293
Entity Type Code : Organization
Provider Name (Legal Business Name) : CMO MEDICAL SUPPLY COMPANY LLC
Provider Business Mailing Address
First Line : 1080 E INDIANTOWN RD STE 103A
Second Line :
City : JUPITER
State : FL
Zip : 33477-5188
Country : US
Telephone Number : 561-339-3088
Fax Number :
Provider Business Practice Location Address
First Line : 1080 E INDIANTOWN RD STE 103A
Second Line :
City : JUPITER
State : FL
Zip : 33477-5188
Country : US
Telephone Number : 561-339-3088
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CONNOR WILLIAMSON
Credential :
Telephone Number : 561-339-3088
Provider Enumeration Date : 08/14/2020
Last Update Date : 07/06/2021

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Directions to “CMO MEDICAL SUPPLY COMPANY LLC ” Practice Location

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