Organization
CORAL MEDICAL EQUIPMENT & SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEVELAND D WEST (PRESIDENT)
(305) 852-4393
Entity
Organization
Contact information
Practice address
87899 OVERSEAS HWY, ISLAMORADA, FL 33036
(305) 852-4393
(305) 852-0861
Mailing address
PO BOX 9720, TAVERNIER, FL 33070
(305) 852-4393
(305) 852-0861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028818700
—
FL
Enumeration date
02/16/2006
Last updated
01/31/2017
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