Provider Demographics
NPI:1649576430
Name:MEDICAL SUPPORT INTERNATIONAL
Entity Type:Organization
Organization Name:MEDICAL SUPPORT INTERNATIONAL
Other - Org Name:MSI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-874-6504
Mailing Address - Street 1:9314 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6577
Mailing Address - Country:US
Mailing Address - Phone:888-874-8604
Mailing Address - Fax:561-282-6285
Practice Address - Street 1:9314 FOREST HILL BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33411-6577
Practice Address - Country:US
Practice Address - Phone:888-874-8604
Practice Address - Fax:561-282-6285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies