Provider Demographics
NPI:1437649951
Name:CARDINAL CARE MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:CARDINAL CARE MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EASTON
Authorized Official - Middle Name:
Authorized Official - Last Name:SUCHARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-330-4396
Mailing Address - Street 1:601 N CONGRESS AVE STE 110B
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4626
Mailing Address - Country:US
Mailing Address - Phone:561-330-4396
Mailing Address - Fax:
Practice Address - Street 1:601 N CONGRESS AVE STE 110B
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-330-4396
Practice Address - Fax:321-622-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies