Provider Demographics
NPI:1093431215
Name:CA MEDICAL SUPPLY USA INC
Entity Type:Organization
Organization Name:CA MEDICAL SUPPLY USA INC
Other - Org Name:CA MDEICAL SUPPLY USA.INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIRINO ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-879-2914
Mailing Address - Street 1:3825 HENDERSON BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5012
Mailing Address - Country:US
Mailing Address - Phone:813-574-7570
Mailing Address - Fax:813-574-7715
Practice Address - Street 1:3825 HENDERSON BLVD STE 402
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5012
Practice Address - Country:US
Practice Address - Phone:813-574-7570
Practice Address - Fax:813-574-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies