Provider Demographics
NPI:1881232742
Name:SN DME, LLC
Entity Type:Organization
Organization Name:SN DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CONTRACT ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:FISCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-395-1533
Mailing Address - Street 1:3313 W COMMERCIAL BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3413
Mailing Address - Country:US
Mailing Address - Phone:800-748-2129
Mailing Address - Fax:
Practice Address - Street 1:3313 W COMMERCIAL BLVD STE 130
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3413
Practice Address - Country:US
Practice Address - Phone:800-748-2129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies