Provider Demographics
NPI:1619182664
Name:CORAL MEDICAL INC
Entity Type:Organization
Organization Name:CORAL MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-752-7818
Mailing Address - Street 1:1946 NW 85TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6258
Mailing Address - Country:US
Mailing Address - Phone:954-752-7818
Mailing Address - Fax:954-752-7216
Practice Address - Street 1:1946 NW 85TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6258
Practice Address - Country:US
Practice Address - Phone:954-752-7818
Practice Address - Fax:954-752-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0446615332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment