Provider Demographics
NPI:1225113145
Name:DIRECT BUY MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:DIRECT BUY MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-951-6727
Mailing Address - Street 1:258 SE 6TH AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5259
Mailing Address - Country:US
Mailing Address - Phone:561-951-6727
Mailing Address - Fax:561-819-6475
Practice Address - Street 1:258 S E 6TH AVENUE
Practice Address - Street 2:9
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5259
Practice Address - Country:US
Practice Address - Phone:561-951-6727
Practice Address - Fax:561-819-6474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies