MEDICARE: SENTECH MEDICAL SYSTEMS

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	503	FL

General Provider Information

NPI Number	:	1982770459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENTECH MEDICAL SYSTEMS

Provider Business Mailing Address
First Line	:	4200 NW 120TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7603
Country	:	US
Telephone Number	:	954-340-0500
Fax Number	:	954-340-0511

Provider Business Practice Location Address
First Line	:	4200 NW 120TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7603
Country	:	US
Telephone Number	:	954-340-0500
Fax Number	:	954-340-0511

Authorized Official
Title or Position	:	CFO
Name	:	MR. ROGER DALE ROLF
Credential	:
Telephone Number	:	954-340-0500

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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