Provider Demographics
NPI:1932285947
Name:RELIABLE MEDICAL SUPPLIES,INC.
Entity Type:Organization
Organization Name:RELIABLE MEDICAL SUPPLIES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-240-8404
Mailing Address - Street 1:902 CLINT MOORE RD.
Mailing Address - Street 2:SUITE 114
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2846
Mailing Address - Country:US
Mailing Address - Phone:800-240-8404
Mailing Address - Fax:800-918-6092
Practice Address - Street 1:902 CLINT MOORE RD.
Practice Address - Street 2:SUITE 114
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2846
Practice Address - Country:US
Practice Address - Phone:800-240-8404
Practice Address - Fax:800-918-6092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5908140001Medicare NSC