MEDICARE: NEED MEDICAL 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1639801004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEED MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	108 KINGSLEY AVE UNIT 205
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-5685
Country	:	US
Telephone Number	:	904-537-0904
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 KINGSLEY AVE UNIT 205
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-5685
Country	:	US
Telephone Number	:	904-537-0904
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DHRUV PATEL
Credential	:
Telephone Number	:	904-537-0904

Provider Enumeration Date	:	06/25/2022
Last Update Date	:	06/25/2022

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Directions to “NEED MEDICAL SUPPLIES LLC ” Practice Location

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