Provider Demographics
NPI:1841879897
Name:FLEXIBLE MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:FLEXIBLE MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEGRIN MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-800-5674
Mailing Address - Street 1:4720 SE 15TH AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9663
Mailing Address - Country:US
Mailing Address - Phone:239-800-5674
Mailing Address - Fax:239-599-8769
Practice Address - Street 1:4720 SE 15TH AVE STE 108
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9663
Practice Address - Country:US
Practice Address - Phone:239-800-5674
Practice Address - Fax:239-599-8769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies