Provider Demographics
NPI:1922343599
Name:DANIELE MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:DANIELE MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANIELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-936-7070
Mailing Address - Street 1:4300 FORD ST. EXT
Mailing Address - Street 2:UNIT 101
Mailing Address - City:FT. MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916
Mailing Address - Country:US
Mailing Address - Phone:239-936-7070
Mailing Address - Fax:
Practice Address - Street 1:4300 FORD ST. EXT
Practice Address - Street 2:UNIT 101
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-9317
Practice Address - Country:US
Practice Address - Phone:239-936-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment