Provider Demographics
NPI:1932259181
Name:ANN MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:ANN MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CALIXTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-226-8388
Mailing Address - Street 1:5850 LAKEHURST DR
Mailing Address - Street 2:SUITE 150-30
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8388
Mailing Address - Country:US
Mailing Address - Phone:140-722-6838
Mailing Address - Fax:
Practice Address - Street 1:5850 LAKEHURST DR
Practice Address - Street 2:SUITE 150-30
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8388
Practice Address - Country:US
Practice Address - Phone:140-722-6838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies