Provider Demographics
NPI:1306016266
Name:MEDIFEX
Entity Type:Organization
Organization Name:MEDIFEX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V-P
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-245-3858
Mailing Address - Street 1:311 DEL PRADO BLVD S STE 1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1704
Mailing Address - Country:US
Mailing Address - Phone:239-673-7770
Mailing Address - Fax:239-673-7772
Practice Address - Street 1:311 DEL PRADO BLVD S STE 1
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1704
Practice Address - Country:US
Practice Address - Phone:239-673-7770
Practice Address - Fax:239-673-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6156410001Medicare NSC