Provider Demographics
NPI:1396140737
Name:ALLY MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:ALLY MEDICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ELDER
Authorized Official - Last Name:CIANFROCCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-785-8988
Mailing Address - Street 1:4951B E ADAMO DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-5924
Mailing Address - Country:US
Mailing Address - Phone:866-684-2507
Mailing Address - Fax:866-695-2183
Practice Address - Street 1:127 N BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4463
Practice Address - Country:US
Practice Address - Phone:866-684-2507
Practice Address - Fax:866-695-2183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLY MEDICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-28
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment