Organization
FL CORAL MED SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO ROSALES (PRESIDENT)
(239) 355-3213
Entity
Organization
Contact information
Practice address
11595 KELLY RD STE 319, FORT MYERS, FL 33908-2572
(269) 355-3213
Mailing address
11595 KELLY RD STE 319, FORT MYERS, FL 33908-2572
(269) 355-3213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
06/23/2021
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