# PARADISE MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477019776
- **Authorized official:** JAVIER E CABALO TUDELA (PRESIDENT)
- **Authorized official phone:** (239) 984-5189

## Contact information

- **Practice address:** 4720 SE 15TH AVE STE 206, CAPE CORAL, FL 33904-9600
- **Practice address phone:** (239) 984-2860
- **Practice address fax:** (239) 984-5189
- **Mailing address:** 4720 SE 15TH AVE STE 206, CAPE CORAL, FL 33904-9600
- **Mailing address phone:** (239) 984-2860
- **Mailing address fax:** (239) 984-5189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2019
- **Last updated:** 08/22/2019