Provider Demographics
NPI:1457080863
Name:OLMI MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:OLMI MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-970-2965
Mailing Address - Street 1:5052 POPE JOHN PAUL
Mailing Address - Street 2:11 BLVD
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9576
Mailing Address - Country:US
Mailing Address - Phone:866-970-2965
Mailing Address - Fax:
Practice Address - Street 1:5052 POPE JOHN PAUL
Practice Address - Street 2:11 BLVD
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142
Practice Address - Country:US
Practice Address - Phone:866-970-2965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies