Provider Demographics
NPI:1043826639
Name:DEVOTED MEDICAL EQUIPMENT PLLC
Entity Type:Organization
Organization Name:DEVOTED MEDICAL EQUIPMENT PLLC
Other - Org Name:DEVOTED MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEW
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:754-307-7024
Mailing Address - Street 1:1404 S DIXIE HWY UNIT 2310
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-5524
Mailing Address - Country:US
Mailing Address - Phone:754-307-7024
Mailing Address - Fax:
Practice Address - Street 1:50 NE 26TH AVE STE 311
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5245
Practice Address - Country:US
Practice Address - Phone:754-307-7024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL807784Medicaid