Provider Demographics
NPI:1205838000
Name:C.A.S MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:C.A.S MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVAREZ BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:RMA, RFOM
Authorized Official - Phone:941-625-1600
Mailing Address - Street 1:4673 GERMANY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-8387
Mailing Address - Country:US
Mailing Address - Phone:941-979-2382
Mailing Address - Fax:941-625-1166
Practice Address - Street 1:3109 TAMIAMI TRL STE 1
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8046
Practice Address - Country:US
Practice Address - Phone:941-625-1600
Practice Address - Fax:941-625-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL05-P-2125332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5956810001Medicare NSC