Provider Demographics
NPI:1790025112
Name:COMFORTABLE MEDICAL SUPPLIES, 'LLC'
Entity Type:Organization
Organization Name:COMFORTABLE MEDICAL SUPPLIES, 'LLC'
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:LAY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:941-302-4741
Mailing Address - Street 1:1609 ROBBINS RD
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-2457
Mailing Address - Country:US
Mailing Address - Phone:941-302-4741
Mailing Address - Fax:941-244-9576
Practice Address - Street 1:1609 ROBBINS RD
Practice Address - Street 2:
Practice Address - City:NOKOMIS
Practice Address - State:FL
Practice Address - Zip Code:34275-2457
Practice Address - Country:US
Practice Address - Phone:941-302-4741
Practice Address - Fax:941-244-9576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies