Provider Demographics
NPI:1508474180
Name:PROPER MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:PROPER MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-323-4106
Mailing Address - Street 1:1177 HYPOLUXO RD STE 106
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4244
Mailing Address - Country:US
Mailing Address - Phone:561-323-4106
Mailing Address - Fax:561-516-7027
Practice Address - Street 1:1177 HYPOLUXO RD STE 106
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-4244
Practice Address - Country:US
Practice Address - Phone:561-323-4106
Practice Address - Fax:561-516-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies