Provider Demographics
NPI:1649081654
Name:SCOPE MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:SCOPE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKITRAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:561-939-9525
Mailing Address - Street 1:2930 NW 87TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5348
Mailing Address - Country:US
Mailing Address - Phone:561-939-9525
Mailing Address - Fax:
Practice Address - Street 1:2930 NW 87TH TER
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5348
Practice Address - Country:US
Practice Address - Phone:561-939-9525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies