Provider Demographics
NPI:1811989296
Name:DREW MEDICAL INC
Entity type:Organization
Organization Name:DREW MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-363-6700
Mailing Address - Street 1:9582 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-6992
Mailing Address - Country:US
Mailing Address - Phone:407-363-6700
Mailing Address - Fax:407-363-5979
Practice Address - Street 1:9582 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-6992
Practice Address - Country:US
Practice Address - Phone:407-363-6700
Practice Address - Fax:407-363-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371765807Medicaid
FL371765802Medicaid
FL371765810Medicaid
FLCA8376OtherRAILROAD MEDICARE
FL371765806Medicaid
FL371765808Medicaid
FL371765811Medicaid
FL371765812Medicaid
FL371765810Medicaid