Provider Demographics
NPI:1467047233
Name:NEW WAY MED SUPPLY LLC
Entity Type:Organization
Organization Name:NEW WAY MED SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:195-470-9795
Mailing Address - Street 1:8358 W OAKLAND PARK BLVD STE 203B
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7341
Mailing Address - Country:US
Mailing Address - Phone:954-368-3682
Mailing Address - Fax:
Practice Address - Street 1:8358 W OAKLAND PARK BLVD STE 203B
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7341
Practice Address - Country:US
Practice Address - Phone:954-368-3682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies