Organization
ADVANCED MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL OCALLAGHAN LLERA (PRESIDENT)
(239) 424-8490
Entity
Organization
Contact information
Practice address
1634 SE 47TH ST STE 12, CAPE CORAL, FL 33904-8739
(239) 424-8490
Mailing address
1634 SE 47TH ST STE 12, CAPE CORAL, FL 33904-8739
(239) 424-8490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
11/09/2020
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