Provider Demographics
NPI:1407487887
Name:1 MEDICAL SUPPLIES CORP
Entity Type:Organization
Organization Name:1 MEDICAL SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SEID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-827-4815
Mailing Address - Street 1:4851 NW 103RD AVE STE 151C
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7985
Mailing Address - Country:US
Mailing Address - Phone:954-709-7959
Mailing Address - Fax:
Practice Address - Street 1:370 CAMINO GARDENS BLVD STE 342
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5816
Practice Address - Country:US
Practice Address - Phone:561-827-4815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies