SUPPORT SUPPLY CO NPI 1063406791

NPI Information

  • NPI: 1063406791
  • Provider Name: SUPPORT SUPPLY CO
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 2115 W 60TH ST
    HIALEAH, FL
    ZIP 33016
  • Phone: (305) 827-2322

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NPI Details

SUPPORT SUPPLY CO is a durable medical equipment medical supplies in Hialeah, FL. The provider is 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. SUPPORT SUPPLY CO NPI is 1063406791. The provider is registered as an organization entity type.

The provider's business location address is:

2115 W 60TH ST
HIALEAH, FL
ZIP 33016-616
Phone: (305) 827-2322
Fax: (305) 827-0081

The provider's authorized official is Odalys A Pardo .
The authorized official title is President and has the following contact phone number (305) 827-2322.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies3202292FLORIDANo
2332B00000XDurable Medical Equipment & Medical Supplies70FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11089130001MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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