Provider Demographics
NPI:1598037046
Name:MED LINK PLUS, LLC
Entity Type:Organization
Organization Name:MED LINK PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-931-9841
Mailing Address - Street 1:14239 PERDIDO KEY DR UNIT 7
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-5236
Mailing Address - Country:US
Mailing Address - Phone:504-931-9841
Mailing Address - Fax:877-721-4241
Practice Address - Street 1:14239 PERDIDO KEY DR UNIT 7
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-5236
Practice Address - Country:US
Practice Address - Phone:504-931-9841
Practice Address - Fax:877-721-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies