Provider Demographics
NPI:1619120474
Name:ACCESS MEDIQUIP, LLC
Entity Type:Organization
Organization Name:ACCESS MEDIQUIP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LITTLETON
Authorized Official - Middle Name:
Authorized Official - Last Name:BATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-774-4850
Mailing Address - Street 1:500 WINDERLY PL
Mailing Address - Street 2:SUITE 124
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7247
Mailing Address - Country:US
Mailing Address - Phone:407-774-4850
Mailing Address - Fax:407-628-4850
Practice Address - Street 1:500 WINDERLY PL
Practice Address - Street 2:SUITE 124
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7247
Practice Address - Country:US
Practice Address - Phone:407-774-4850
Practice Address - Fax:407-628-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier