Provider Demographics
NPI:1033941208
Name:NTI MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:NTI MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NTI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:754-240-4254
Mailing Address - Street 1:2719 HOLLYWOOD BLVD # L-284
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4821
Mailing Address - Country:US
Mailing Address - Phone:754-240-4254
Mailing Address - Fax:
Practice Address - Street 1:2719 HOLLYWOOD BLVD # L-284
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4821
Practice Address - Country:US
Practice Address - Phone:754-240-4254
Practice Address - Fax:754-336-7889
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NTI MEDICAL SUPPLIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies