Provider Demographics
NPI:1093134710
Name:INFINITY DME, LLC
Entity Type:Organization
Organization Name:INFINITY DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRENTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-279-2776
Mailing Address - Street 1:915 CLINT MOORE RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2802
Mailing Address - Country:US
Mailing Address - Phone:561-279-2776
Mailing Address - Fax:
Practice Address - Street 1:915 CLINT MOORE RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2802
Practice Address - Country:US
Practice Address - Phone:561-279-2776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies