Provider Demographics
NPI:1720019490
Name:DEPENDABLE MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:DEPENDABLE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-609-4655
Mailing Address - Street 1:7835 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4353
Mailing Address - Country:US
Mailing Address - Phone:800-609-4655
Mailing Address - Fax:800-610-4655
Practice Address - Street 1:7835 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33351-4353
Practice Address - Country:US
Practice Address - Phone:800-609-4655
Practice Address - Fax:800-610-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL863332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0839540001Medicare ID - Type UnspecifiedPROVIDER NUMBER