Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Living Store Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1871633073

Active Living Store Inc is a Durable Medical Equipment & Medical Supplies in Summerfield, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17860 SE 109th Ave #630
Summerfield, FL 34491-8911
Phone: (352) 307-3511
Fax: (352) 307-1151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 1626 (FL)

Record details

NPI number1871633073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Page Whittle — Vice President · (352) 307-3511
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 492936, Leesburg, FL 34749-2936

Other providers in Summerfield