Provider Demographics
NPI:1568450716
Name:MEDEX7, INC.
Entity Type:Organization
Organization Name:MEDEX7, INC.
Other - Org Name:MED SERVICES NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:DI MOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-680-1110
Mailing Address - Street 1:3238 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-4551
Mailing Address - Country:US
Mailing Address - Phone:863-680-1110
Mailing Address - Fax:863-680-3364
Practice Address - Street 1:3238 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-4551
Practice Address - Country:US
Practice Address - Phone:863-680-1110
Practice Address - Fax:863-680-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL640332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
207578OtherAMERIGROUP FLORIDA INC
FLR8522OtherBLUE CROSS PROVIDER NUMBE
FLR8522OtherBLUE CROSS FEDERAL
103133OtherHEALTH PARTNERS HP
FL292214OtherBLUE CROSS PENNSYLVANIA
FL1523110OtherUNITED MINEWORKERS
FLZ45725OtherBLUE CROSS MASSACHUSETTS
FL050141300OtherUS DEPT LABOR/BLACK LUNG
FL951805300Medicaid
FL951805300Medicaid
FL050141300OtherUS DEPT LABOR/BLACK LUNG
FL1523110OtherUNITED MINEWORKERS
FLZ45725OtherBLUE CROSS MASSACHUSETTS