Organization
MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E CLEVELAND (MANAGER AND PRESIDENT)
(407) 383-5642
Entity
Organization
Contact information
Practice address
11601 56TH CT N, CLEARWATER, FL 33760-4805
(727) 851-9880
(866) 727-2399
Mailing address
11601 56TH CT N, CLEARWATER, FL 33760-4805
(727) 851-9880
(866) 727-2399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6675850001
MEDICARE PTAN
FL
01
—
6675850001
PTAN
—
Enumeration date
10/05/2011
Last updated
09/24/2014
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