Provider Demographics
NPI:1669705844
Name:NATIONAL MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:NATIONAL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOES
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-531-0628
Mailing Address - Street 1:6601 LYONS RD
Mailing Address - Street 2:STE I-5
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3627
Mailing Address - Country:US
Mailing Address - Phone:954-531-0628
Mailing Address - Fax:877-697-8991
Practice Address - Street 1:6601 LYONS RD
Practice Address - Street 2:STE I-5
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3627
Practice Address - Country:US
Practice Address - Phone:954-531-0628
Practice Address - Fax:877-697-8991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-07
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies