OrganizationActive
Diversified Specialties
NPI 1508992777 · Durable Medical Equipment & Medical Supplies · Micco, FL
Provider details
- NPI number
- 1508992777
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Nigro, President(772) 664-3668
Specialties & taxonomies
Suppliers
Practice location
8000 Ron Beatty Blvd
Suite A-3
Micco, FL 32976-7474
Phone: (772) 664-3668
Fax: (772) 664-3343
Approximate (ZIP-level) locationGet directions
Mailing address
8000 Ron Beatty Blvd
Micco, FL 32976-7474
Registry dates
- Enumerated
- 2007-02-24
- Last updated
- 2008-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.