Provider Demographics
NPI:1891919759
Name:SCARLET'S MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:SCARLET'S MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JANDRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-234-1421
Mailing Address - Street 1:11117 W OKEECHOBEE RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4212
Mailing Address - Country:US
Mailing Address - Phone:305-825-9911
Mailing Address - Fax:
Practice Address - Street 1:11117 W OKEECHOBEE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4212
Practice Address - Country:US
Practice Address - Phone:305-825-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies