Provider Demographics
NPI:1972580421
Name:DARTMOUTH MEDICAL EQUIPMENT & SUPPLY, INC
Entity Type:Organization
Organization Name:DARTMOUTH MEDICAL EQUIPMENT & SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:FOPPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-375-2011
Mailing Address - Street 1:920 CYPRESSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4216
Mailing Address - Country:US
Mailing Address - Phone:407-375-2011
Mailing Address - Fax:407-359-2071
Practice Address - Street 1:920 CYPRESSWOOD CT
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4216
Practice Address - Country:US
Practice Address - Phone:407-375-2011
Practice Address - Fax:407-359-2071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01000099482OtherSTATE CORP DOC NUMBER