Provider Demographics
NPI:1942558770
Name:VALOR MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:VALOR MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-354-3955
Mailing Address - Street 1:2800 W STATE ROAD 84
Mailing Address - Street 2:118
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-4813
Mailing Address - Country:US
Mailing Address - Phone:800-341-5469
Mailing Address - Fax:800-341-5470
Practice Address - Street 1:2800 W STATE ROAD 84
Practice Address - Street 2:118
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-4813
Practice Address - Country:US
Practice Address - Phone:800-341-5469
Practice Address - Fax:800-341-5470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies