Organization · Type 2 NPI

Active Living Store Inc.

Durable Medical Equipment & Medical Supplies · Summerfield, FL

NPI number 1871633073 Active

Practice location

17860 SE 109th Ave, #630
Summerfield, FL 34491-8911

Call (352) 307-3511 Map

Fax (352) 307-1151

Mailing address

PO Box 492936
Leesburg, FL 34749-2936

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X1626 (FL)

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.

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About NPI 1871633073

Active Living Store Inc.'s National Provider Identifier is 1871633073, issued on Feb 7, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Summerfield, FL. The record was last updated on Aug 22, 2020.