Spark Medical Supply LLC
NPI #1083274112 in Palm Springs, Florida
Provider Information
- NPI Number
- 1083274112
- Entity Type
- Organization
- Organization Name
- Spark Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 20, 2019
- Last Updated
- Mar 12, 2020
Practice Location
- Address
- 3175 S CONGRESS AVE STE 305D
- City
- Palm Springs
- State
- Florida
- ZIP Code
- 33461-2562
- Phone
- (561) 469-7980
Authorized Official
- Name
- MICHAEL NUSSBAUM
- Title
- OWNER
- Phone
- (561) 469-7980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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