Provider Demographics
NPI:1114537479
Name:M & S UNIVERSAL MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:M & S UNIVERSAL MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-474-8290
Mailing Address - Street 1:759 SW FEDERAL HWY STE 310
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2923
Mailing Address - Country:US
Mailing Address - Phone:772-247-7395
Mailing Address - Fax:
Practice Address - Street 1:759 SW FEDERAL HWY STE 310
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2923
Practice Address - Country:US
Practice Address - Phone:973-474-8290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies