Provider Demographics
NPI:1407498041
Name:ANOINTED MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:ANOINTED MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KADY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELENAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-445-4404
Mailing Address - Street 1:2727 SE MORNINGSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5705
Mailing Address - Country:US
Mailing Address - Phone:888-445-4404
Mailing Address - Fax:
Practice Address - Street 1:2727 SE MORNINGSIDE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5705
Practice Address - Country:US
Practice Address - Phone:561-215-5067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies