Provider Demographics
NPI:1982211983
Name:MEDSTARR HEALTH SUPPLIES INC
Entity Type:Organization
Organization Name:MEDSTARR HEALTH SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIASTARR
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-271-2459
Mailing Address - Street 1:5301 N FEDERAL HWY STE 275A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4919
Mailing Address - Country:US
Mailing Address - Phone:561-271-2459
Mailing Address - Fax:
Practice Address - Street 1:5301 N FEDERAL HWY STE 275A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4919
Practice Address - Country:US
Practice Address - Phone:561-271-2459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies