Provider Demographics
NPI:1477186294
Name:UNITED MEDICAL PROVIDERS, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-826-8186
Mailing Address - Street 1:23123 STATE ROAD 7 STE 225
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23123 STATE ROAD 7 STE 225
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5407
Practice Address - Country:US
Practice Address - Phone:561-826-8186
Practice Address - Fax:888-902-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies