Organization
CUSTOM MEDICAL SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN A. LOVESKY A.T.S. (OWNER/MGR)
(941) 722-3434
Entity
Organization
Contact information
Practice address
404 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3434
Mailing address
404 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3434
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028786500
—
FL
01
—
671444796
DEVELOPMT DISAB WAIVER
FL
01
—
671444798
HOME & COMM. BASE WAIVER
FL
01
—
686628000
AGE & DIS PERSON WAIVER
FL
01
—
686838079
BRAIN & SPINAL WAIVER
FL
Enumeration date
01/07/2008
Last updated
01/15/2008
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