Provider Demographics
NPI:1184225732
Name:PROMED DME LLC.
Entity Type:Organization
Organization Name:PROMED DME LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRESLIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:844-693-6316
Mailing Address - Street 1:900 SE FEDERAL HWY STE 301
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3733
Mailing Address - Country:US
Mailing Address - Phone:844-693-6316
Mailing Address - Fax:772-291-2084
Practice Address - Street 1:900 SE FEDERAL HWY STE 301
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3733
Practice Address - Country:US
Practice Address - Phone:772-261-3307
Practice Address - Fax:772-291-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies