Organization
MEDICAL XPRESS OF SW FL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH BAN (OWNER)
(239) 590-0167
Entity
Organization
Contact information
Practice address
15600 SAN CARLOS BLVD, STE 13, FORT MYERS, FL 33908-2564
(239) 590-0167
(239) 590-0107
Mailing address
15600 SAN CARLOS BLVD, STE 13, FORT MYERS, FL 33908-2564
(239) 590-0167
(239) 590-0107
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312191
FL
Other
Enumeration date
06/23/2005
Last updated
05/09/2011
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