Provider Demographics
NPI:1578131645
Name:CONNECT MED SUPPLY LLC
Entity Type:Organization
Organization Name:CONNECT MED SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-263-8556
Mailing Address - Street 1:2500 NW 79TH AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1085
Mailing Address - Country:US
Mailing Address - Phone:305-200-3310
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 222
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1085
Practice Address - Country:US
Practice Address - Phone:305-200-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies