Provider Demographics
NPI:1912599937
Name:MEDSUPPLYINC
Entity Type:Organization
Organization Name:MEDSUPPLYINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALE REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-610-6964
Mailing Address - Street 1:1241 STIRLING RD STE 116
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3565
Mailing Address - Country:US
Mailing Address - Phone:954-342-9720
Mailing Address - Fax:
Practice Address - Street 1:1241 STIRLING RD STE 116
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3565
Practice Address - Country:US
Practice Address - Phone:954-342-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies