Provider Demographics
NPI:1457878795
Name:NATIONAL MEDICAL COMPANY INC
Entity Type:Organization
Organization Name:NATIONAL MEDICAL COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-263-4204
Mailing Address - Street 1:111 N 2ND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4404
Mailing Address - Country:US
Mailing Address - Phone:772-618-4778
Mailing Address - Fax:
Practice Address - Street 1:111 N 2ND ST STE 102
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4404
Practice Address - Country:US
Practice Address - Phone:772-468-7311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies