Provider Demographics
NPI:1134392301
Name:NOVICK MEDICAL SUPPLY
Entity type:Organization
Organization Name:NOVICK MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-434-2225
Mailing Address - Street 1:4801 SOUTH UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:954-434-2225
Mailing Address - Fax:954-434-2228
Practice Address - Street 1:4801 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 107
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-434-2225
Practice Address - Fax:954-434-2228
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOVICK CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies