NPI 1083274112
Spark Medical Supply LLC
Practice location
- Address
- 3175 S Congress Ave STE 305d, Palm Springs, FL 33461-2562
- Phone
- (561) 469-7980
Authorised official
- Name
- Michael Nussbaum
- Title
- Owner
- Phone
- (561) 469-7980
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1083274112
- Entity type
- Organization
- NPI issued
- 20 Jun 2019
- Record last updated
- 12 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.