MEDICARE: SUPERIOR HEALTHCARE SUPPLY L.L.C

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1528005352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR HEALTHCARE SUPPLY L.L.C

Provider Business Mailing Address
First Line	:	333 W 41ST ST
Second Line	:	SUITE 722
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3641
Country	:	US
Telephone Number	:	305-538-7821
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W 41ST ST
Second Line	:	SUITE 722
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3641
Country	:	US
Telephone Number	:	305-538-7821
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ERIC HARRISON SIMON
Credential	:
Telephone Number	:	305-538-7820

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/12/2008

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Directions to “SUPERIOR HEALTHCARE SUPPLY L.L.C ” Practice Location

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