Provider Demographics
NPI:1336404581
Name:MEDICAL EQUIPMENT DISTRIBUTION SPECIALISTS
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT DISTRIBUTION SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-895-8705
Mailing Address - Street 1:7865 W HIGHWAY 40 LOT 45
Mailing Address - Street 2:GOLDEN HILLS MOBILE HOME PARK
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-4485
Mailing Address - Country:US
Mailing Address - Phone:352-895-8705
Mailing Address - Fax:352-433-4529
Practice Address - Street 1:7865 W HIGHWAY 40 LOT 45
Practice Address - Street 2:GOLDEN HILLS MOBILE HOME PARK
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34482-4485
Practice Address - Country:US
Practice Address - Phone:352-895-8705
Practice Address - Fax:352-433-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies