Provider Demographics
NPI:1558984229
Name:MEDEXPRESS GROUP INC
Entity Type:Organization
Organization Name:MEDEXPRESS GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMAURY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-230-7122
Mailing Address - Street 1:228 PLAZA DR.
Mailing Address - Street 2:UNIT C
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6054
Mailing Address - Country:US
Mailing Address - Phone:239-230-7122
Mailing Address - Fax:239-230-8995
Practice Address - Street 1:228 PLAZA DR.
Practice Address - Street 2:UNIT C
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6054
Practice Address - Country:US
Practice Address - Phone:239-230-7122
Practice Address - Fax:239-230-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies