Provider Demographics
NPI:1144950908
Name:UROMED EXPRESS LLC
Entity type:Organization
Organization Name:UROMED EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:561-680-5500
Mailing Address - Street 1:1750 N FLORIDA MANGO RD STE 405
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5266
Mailing Address - Country:US
Mailing Address - Phone:561-680-5500
Mailing Address - Fax:561-584-5555
Practice Address - Street 1:1750 N FLORIDA MANGO RD STE 405
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5266
Practice Address - Country:US
Practice Address - Phone:561-680-5500
Practice Address - Fax:561-584-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies