MEDICARE: HNC 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	:	1659934859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HNC MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	3738 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUD LAKES
State	:	FL
Zip	:	33311-1157
Country	:	US
Telephone Number	:	877-706-3837
Fax Number	:	877-571-8129

Provider Business Practice Location Address
First Line	:	3738 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUD LAKES
State	:	FL
Zip	:	33311-1157
Country	:	US
Telephone Number	:	877-706-3837
Fax Number	:	877-571-8129

Authorized Official
Title or Position	:	OWNER
Name	:	SOFIA FRANKEL
Credential	:
Telephone Number	:	877-706-3837

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	04/15/2019

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