Organization
MAJESTIC MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXI SANDOVAL PENALVER (PRESIDENT)
(239) 599-8067
Entity
Organization
Contact information
Practice address
4637 VINCENNES BLVD STE 5, CAPE CORAL, FL 33904-9109
(239) 599-8067
Mailing address
4637 VINCENNES BLVD STE 5, CAPE CORAL, FL 33904-9109
(239) 599-8067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
11/23/2020
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