MEDICARE: RELIABLE MEDICAL SUPPLIES,INC.

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		FL

General Provider Information

NPI Number	:	1932285947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE MEDICAL SUPPLIES,INC.

Provider Business Mailing Address
First Line	:	902 CLINT MOORE RD.
Second Line	:	SUITE 114
City	:	BOCA RATON
State	:	FL
Zip	:	33487-2846
Country	:	US
Telephone Number	:	800-240-8404
Fax Number	:	800-918-6092

Provider Business Practice Location Address
First Line	:	902 CLINT MOORE RD.
Second Line	:	SUITE 114
City	:	BOCA RATON
State	:	FL
Zip	:	33487-2846
Country	:	US
Telephone Number	:	800-240-8404
Fax Number	:	800-918-6092

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ERIC PAUL
Credential	:
Telephone Number	:	800-240-8404

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	11/18/2011

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