Organization
PREMIERE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMANY GARCIA PEREZ (PRESIDENT)
(239) 471-0303
Entity
Organization
Contact information
Practice address
1306 SE 46TH LN STE 1A, CAPE CORAL, FL 33904-8647
(239) 471-0303
(239) 257-2364
Mailing address
1306 SE 46TH LN STE 1A, CAPE CORAL, FL 33904-8647
(239) 471-0303
(239) 257-2364
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
11/19/2020
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