Provider Demographics
NPI:1144800202
Name:COLUMBIA MEDICAL LLC
Entity Type:Organization
Organization Name:COLUMBIA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-479-8858
Mailing Address - Street 1:6600 NW 16TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4554
Mailing Address - Country:US
Mailing Address - Phone:561-479-8858
Mailing Address - Fax:754-206-3958
Practice Address - Street 1:6600 NW 16TH ST STE 2
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-4554
Practice Address - Country:US
Practice Address - Phone:561-479-8858
Practice Address - Fax:754-206-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies