Provider Demographics
NPI:1871859009
Name:DURABLE MEDICAL EQUIPMENT SPECIALISTS
Entity Type:Organization
Organization Name:DURABLE MEDICAL EQUIPMENT SPECIALISTS
Other - Org Name:DURABLE MEDICAL EQUIPMENT SPECIALISTS (HC)
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAWCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-601-3922
Mailing Address - Street 1:3010 HUNTERS CREEK BLVD
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6968
Mailing Address - Country:US
Mailing Address - Phone:407-601-3922
Mailing Address - Fax:
Practice Address - Street 1:3010 HUNTERS CREEK BLVD
Practice Address - Street 2:SUITE 100-A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6968
Practice Address - Country:US
Practice Address - Phone:407-601-3922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DURABLE MEDICAL EQUIPMENT SPECIALISTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies