Provider Demographics
NPI:1023200375
Name:BOTTOMS UP MEDICAL SYSTEMS INC.
Entity Type:Organization
Organization Name:BOTTOMS UP MEDICAL SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:GALIPEAU
Authorized Official - Suffix:
Authorized Official - Credentials:RRT BMET
Authorized Official - Phone:239-560-0230
Mailing Address - Street 1:14891 HOLE IN 1 CIR
Mailing Address - Street 2:UNIT 306
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-7186
Mailing Address - Country:US
Mailing Address - Phone:239-560-0230
Mailing Address - Fax:
Practice Address - Street 1:8695 COLLEGE PKWY
Practice Address - Street 2:SUITE 298
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4890
Practice Address - Country:US
Practice Address - Phone:239-560-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332BX2000X332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies