Provider Demographics
NPI:1073566485
Name:CONTINENTAL MEDICAL SUPPLIES & SERVICES INC.
Entity Type:Organization
Organization Name:CONTINENTAL MEDICAL SUPPLIES & SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRENIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-418-4037
Mailing Address - Street 1:3399 NW 72ND AVE
Mailing Address - Street 2:127
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1349
Mailing Address - Country:US
Mailing Address - Phone:305-418-4037
Mailing Address - Fax:305-418-3573
Practice Address - Street 1:3399 NW 72ND AVE
Practice Address - Street 2:SUITE 127
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1349
Practice Address - Country:US
Practice Address - Phone:305-418-4037
Practice Address - Fax:305-418-3573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4611620001Medicare NSC