MEDLIFE SUPPLY LLC (NPI# 1043827694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043827694 |
| Entity Type | Organization |
| Organization Name | MEDLIFE SUPPLY LLC |
| Practice Address |
1495 Forest Hill Blvd Ste C1 West Palm Beach FL 33406-6073 |
| Practice Telephone | 8774012142 |
| Practice Fax Number | 5617703593 |
| Mailing Telephone | 8774012142 |
| Mailing Fax Number | 5617703593 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | RUSSELL JAMES INGRAM III (OWNER) |
| Authorized Official Telephone | 8774012142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1495 FOREST HILL BLVD STE C1 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33406-6073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850005 | Metric Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 224 Datura St Ste 308, West Palm Beach, FL 33401-5631 | 2020-08-06 |
| 1245848175 | Horizon Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 224 Datura St Ste 1107, West Palm Beach, FL 33401-5611 | 2020-07-16 |
| 1457979775 | Supportive Supplies LLC | Durable Medical Equipment & Medical Supplies | 224 Datura St Ste 307, West Palm Beach, FL 33401-5631 | 2020-07-13 |
| 1043838485 | Origin Medical LLC | Durable Medical Equipment & Medical Supplies | 224 Datura St Ste 1309, West Palm Beach, FL 33401-5641 | 2020-07-13 |
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1811515711 | Ally Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2300 Palm Beach Lakes Blvd Ste 300a, West Palm Beach, FL 33409-3300 | 2020-07-08 |
| 1003430976 | Vita Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 224 Datura St Ste 209-210, West Palm Beach, FL 33401-5624 | 2020-06-05 |
| 1902435803 | Infinity Medical Equipment Group LLC | Durable Medical Equipment & Medical Supplies | 2101 Vista Pkwy # 105, West Palm Beach, FL 33411-2706 | 2020-04-03 |
| 1427689165 | Genesis Medical LLC | Durable Medical Equipment & Medical Supplies | 2101 Vista Pkwy Ste 220, West Palm Beach, FL 33411-2706 | 2020-01-31 |
| 1326697335 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 400 Clematis St, West Palm Beach, FL 33401-5321 | 2019-09-11 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33406 |
Please comment or provide details below to improve the information on MEDLIFE SUPPLY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.