Provider Demographics
NPI:1164514303
Name:CAPE MEDICAL SUPPLIES, CORP.
Entity Type:Organization
Organization Name:CAPE MEDICAL SUPPLIES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENACIMIENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-458-3273
Mailing Address - Street 1:944 COUNTRY CLUB BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-5013
Mailing Address - Country:US
Mailing Address - Phone:239-458-3273
Mailing Address - Fax:239-458-3793
Practice Address - Street 1:944 COUNTRY CLUB BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-5013
Practice Address - Country:US
Practice Address - Phone:239-458-3273
Practice Address - Fax:239-458-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies