Organization
JMC MED SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENIER CAPETILLO (PRESIDENT)
(305) 304-4462
Entity
Organization
Contact information
Practice address
11595 KELLY RD STE 115, FORT MYERS, FL 33908-2572
(305) 304-4462
Mailing address
11595 KELLY RD STE 115, FORT MYERS, FL 33908-2572
(305) 304-4462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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