Provider Demographics
NPI:1700875564
Name:MEDICAL SUPPLY PLUS INC
Entity Type:Organization
Organization Name:MEDICAL SUPPLY PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-665-1106
Mailing Address - Street 1:4143 SW 74TH CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4467
Mailing Address - Country:US
Mailing Address - Phone:305-262-4200
Mailing Address - Fax:305-266-3001
Practice Address - Street 1:4143 SW 74TH CT
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4467
Practice Address - Country:US
Practice Address - Phone:305-262-4200
Practice Address - Fax:305-266-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0928110001Medicare NSC