Provider Demographics
NPI:1033485677
Name:CPAP SUPPLIES DIRECT INC
Entity Type:Organization
Organization Name:CPAP SUPPLIES DIRECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MILITELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-707-0922
Mailing Address - Street 1:12630 METRO PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-8402
Mailing Address - Country:US
Mailing Address - Phone:888-700-5155
Mailing Address - Fax:239-332-2356
Practice Address - Street 1:12630 METRO PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-8402
Practice Address - Country:US
Practice Address - Phone:888-700-5155
Practice Address - Fax:239-332-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies