Provider Demographics
NPI:1215541651
Name:CALIBER MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:CALIBER MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-777-2024
Mailing Address - Street 1:1700 N DIXIE HWY STE 107
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1807
Mailing Address - Country:US
Mailing Address - Phone:561-777-2024
Mailing Address - Fax:
Practice Address - Street 1:1700 N DIXIE HWY STE 107
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1807
Practice Address - Country:US
Practice Address - Phone:561-777-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies