Provider Demographics
NPI:1881715571
Name:R&T MEDICAL DBA DEPENDABLE MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:R&T MEDICAL DBA DEPENDABLE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-340-7373
Mailing Address - Street 1:879 SW SOUTH MACEDO BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1815
Mailing Address - Country:US
Mailing Address - Phone:772-340-7373
Mailing Address - Fax:772-340-3866
Practice Address - Street 1:879 SW SOUTH MACEDO BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1815
Practice Address - Country:US
Practice Address - Phone:772-340-7373
Practice Address - Fax:772-340-3866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL860332B00000X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1177670001Medicare ID - Type UnspecifiedPROVIDER NUMBER