| NPI | 1538159884 |
|---|---|
| Other Name | MEDICAL SUPPLY STORE U.S.A. |
| Entity Type | Organization |
| Authorized Contact | CINDY MARIE GOEGELMAN-KEREKESS President 561-845-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313164) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2008-09-24 |