Provider Demographics
NPI:1124032859
Name:MEDI-SYSTEMS
Entity Type:Organization
Organization Name:MEDI-SYSTEMS
Other - Org Name:ALL FLORIDA MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-683-3545
Mailing Address - Street 1:225 DELLA CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-5358
Mailing Address - Country:US
Mailing Address - Phone:352-683-3545
Mailing Address - Fax:352-683-4236
Practice Address - Street 1:225 DELLA CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-5358
Practice Address - Country:US
Practice Address - Phone:352-683-3545
Practice Address - Fax:352-683-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL684332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL672461200Medicaid