Provider Demographics
NPI:1790218212
Name:DOCTORS CHOICE MEDICAL SUPPLIES, LLC
Entity type:Organization
Organization Name:DOCTORS CHOICE MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENDEZ DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-838-9476
Mailing Address - Street 1:1001 E SAMPLE RD
Mailing Address - Street 2:STE 5
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5161
Mailing Address - Country:US
Mailing Address - Phone:786-838-9476
Mailing Address - Fax:305-397-1382
Practice Address - Street 1:1001 E SAMPLE RD
Practice Address - Street 2:STE 5
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5161
Practice Address - Country:US
Practice Address - Phone:786-838-9476
Practice Address - Fax:305-397-1382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies