Provider Demographics
NPI:1598382681
Name:BESTLIFE MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:BESTLIFE MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-918-2928
Mailing Address - Street 1:2061 NW 2ND AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6774
Mailing Address - Country:US
Mailing Address - Phone:561-609-2851
Mailing Address - Fax:
Practice Address - Street 1:2601 NW 2ND AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6774
Practice Address - Country:US
Practice Address - Phone:561-609-2851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies