Provider Demographics
NPI:1417574963
Name:GLOBAL MED SUPPLY US LLC
Entity Type:Organization
Organization Name:GLOBAL MED SUPPLY US LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIANA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:239-699-9354
Mailing Address - Street 1:1117 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1391
Mailing Address - Country:US
Mailing Address - Phone:239-699-9354
Mailing Address - Fax:
Practice Address - Street 1:2503 DEL PRADO BLVD S STE 510
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-5709
Practice Address - Country:US
Practice Address - Phone:239-699-9354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies