Provider Demographics
NPI:1669947941
Name:QUALITY OF LIFE DME GROUP INC
Entity type:Organization
Organization Name:QUALITY OF LIFE DME GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-571-7727
Mailing Address - Street 1:50 NE 26TH AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5245
Mailing Address - Country:US
Mailing Address - Phone:561-571-7727
Mailing Address - Fax:888-521-1097
Practice Address - Street 1:50 NE 26TH AVE STE 307
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5245
Practice Address - Country:US
Practice Address - Phone:561-571-7727
Practice Address - Fax:888-521-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105003300Medicaid