Provider Demographics
NPI:1235737321
Name:COMMUNITY MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-599-4368
Mailing Address - Street 1:4720 SE 15TH AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9600
Mailing Address - Country:US
Mailing Address - Phone:239-599-4368
Mailing Address - Fax:239-599-4728
Practice Address - Street 1:4720 SE 15TH AVE STE 214
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9600
Practice Address - Country:US
Practice Address - Phone:239-599-4368
Practice Address - Fax:239-599-4728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies