Provider Demographics
NPI:1306404124
Name:MEDTON ADVANCED GROUP, LLC
Entity Type:Organization
Organization Name:MEDTON ADVANCED GROUP, LLC
Other - Org Name:CAREONE DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-986-6300
Mailing Address - Street 1:3203 LAWTON RD STE 151
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2955
Mailing Address - Country:US
Mailing Address - Phone:407-986-6300
Mailing Address - Fax:888-503-3633
Practice Address - Street 1:3203 LAWTON RD STE 151
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2955
Practice Address - Country:US
Practice Address - Phone:407-986-6300
Practice Address - Fax:888-503-3633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDMETS3203OtherDMETS