# PREMIERE MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1548879141
- **Authorized official:** YASMANY GARCIA PEREZ (PRESIDENT)
- **Authorized official phone:** (239) 471-0303

## Contact information

- **Practice address:** 1306 SE 46TH LN STE 1A, CAPE CORAL, FL 33904-8647
- **Practice address phone:** (239) 471-0303
- **Practice address fax:** (239) 257-2364
- **Mailing address:** 1306 SE 46TH LN STE 1A, CAPE CORAL, FL 33904-8647
- **Mailing address phone:** (239) 471-0303
- **Mailing address fax:** (239) 257-2364

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2020
- **Last updated:** 11/19/2020