Provider Demographics
NPI:1831495290
Name:ADVANCED LIFT SYSTEMS
Entity Type:Organization
Organization Name:ADVANCED LIFT SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERRONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-439-1312
Mailing Address - Street 1:4618 SE 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-8737
Mailing Address - Country:US
Mailing Address - Phone:727-439-1312
Mailing Address - Fax:
Practice Address - Street 1:6401 METRO PLANTATION RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1257
Practice Address - Country:US
Practice Address - Phone:727-439-1312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies