Med Leaf Supply LLC
NPI #1447832027 in Deerfield Beach, Florida
Provider Information
- NPI Number
- 1447832027
- Entity Type
- Organization
- Organization Name
- Med Leaf Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 23, 2021
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 3342 W HILLSBORO BLVD
- City
- Deerfield Beach
- State
- Florida
- ZIP Code
- 33442-9403
- Phone
- (312) 215-0062
Authorized Official
- Name
- VAKHTANA TKHILISHVILI
- Title
- PRESIDENT
- Phone
- (343) 983-3320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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