Provider Demographics
NPI:1801026703
Name:CMO MEDICAL, INC.
Entity Type:Organization
Organization Name:CMO MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:M
Authorized Official - Last Name:RINCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-586-1006
Mailing Address - Street 1:6065 IBIS ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-9284
Mailing Address - Country:US
Mailing Address - Phone:941-929-0910
Mailing Address - Fax:941-927-7277
Practice Address - Street 1:6065 IBIS ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34241-9284
Practice Address - Country:US
Practice Address - Phone:941-929-0910
Practice Address - Fax:941-927-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-26
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies