Provider Demographics
NPI:1689137655
Name:UNITED MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:UNITED MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENTEROS GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-205-6970
Mailing Address - Street 1:13180 N CLEVELAND AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-6299
Mailing Address - Country:US
Mailing Address - Phone:239-205-6970
Mailing Address - Fax:239-205-6979
Practice Address - Street 1:13180 N CLEVELAND AVE STE 130
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-6299
Practice Address - Country:US
Practice Address - Phone:239-205-6970
Practice Address - Fax:239-205-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies