Provider Demographics
NPI:1417035445
Name:X-PRESS MEDICAL SUPPLY, CO.
Entity Type:Organization
Organization Name:X-PRESS MEDICAL SUPPLY, CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-981-1720
Mailing Address - Street 1:6521 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2139
Mailing Address - Country:US
Mailing Address - Phone:954-981-1720
Mailing Address - Fax:954-981-1718
Practice Address - Street 1:6521 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-2139
Practice Address - Country:US
Practice Address - Phone:954-981-1720
Practice Address - Fax:954-981-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies