Active Living Store Inc.
Durable Medical Equipment & Medical Supplies
17860 Se 109th Ave, #630, Summerfield
Florida, 34491-8911
352-307-3511 352-307-1151
Active Living Store Inc. is a Durable Medical Equipment & Medical Supplies in Summerfield, Florida. It is located at 17860 Se 109th Ave, #630, Summerfield and it's customer support contact number is 352-307-3511. The authorized person of Active Living Store Inc. is Mr. Page R. Whittle who is Vice President of this DME and his contact number is 352-307-3511. Active license number of Active Living Store Inc. is 1626 for Durable Medical Equipment & Medical Supplies in Florida.
Active Living Store Inc. is 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.
DME Supplier Details:
Active Living Store Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Active Living Store Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 17860 Se 109th Ave, #630, Summerfield,
Florida, 34491-8911 |
| Phone: | 352-307-3511 |
| Fax: | 352-307-1151 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Page R. Whittle |
| Position: | Vice President |
| Contact Number: | 352-307-3511 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1871633073 |
| NPI Enumeration Date: | 07 Feb, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Living Store Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 1626 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 492936,
Leesburg, Florida |
| Zip: | 34749-2936 |
| Phone Number: | 352-307-3511 |
| Fax Number: | 352-307-1151 |
Patients can reach Active Living Store Inc. at
17860 Se 109th Ave, #630, Summerfield, Florida or can
call on customer care at 352-307-3511.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.