Provider Demographics
NPI:1679231542
Name:ON DEMAND MEDICAL SUPPLY AND SERVICES, INC
Entity Type:Organization
Organization Name:ON DEMAND MEDICAL SUPPLY AND SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:CEUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-859-0665
Mailing Address - Street 1:500 GULFSTREAM BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-6144
Mailing Address - Country:US
Mailing Address - Phone:561-859-0665
Mailing Address - Fax:561-666-6016
Practice Address - Street 1:500 GULFSTREAM BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-6144
Practice Address - Country:US
Practice Address - Phone:561-859-0665
Practice Address - Fax:561-666-6016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies