Organization
PARADISE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER E CABALO TUDELA (PRESIDENT)
(239) 984-5189
Entity
Organization
Contact information
Practice address
4720 SE 15TH AVE STE 206, CAPE CORAL, FL 33904-9600
(239) 984-2860
(239) 984-5189
Mailing address
4720 SE 15TH AVE STE 206, CAPE CORAL, FL 33904-9600
(239) 984-2860
(239) 984-5189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
08/22/2019
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