Professional Medical Supply, Inc.
NPI #1437157013 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1437157013
- Entity Type
- Organization
- Organization Name
- Professional Medical Supply, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 8, 2005
- Last Updated
- Dec 2, 2008
Practice Location
- Address
- 101 N US HIGHWAY 1
- Address 2
- SUITE 119
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34950-4254
- Phone
- (772) 205-5408
Authorized Official
- Name
- MR. ANTHONY EARL WAGNER, RTS
- Title
- PRESIDENT/CEO
- Phone
- (772) 205-5408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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