Organization
IVANA MEDICAL EQUIPMENT & SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE CARMONA DE FONTES (PRESIDENT)
(239) 458-1320
Entity
Organization
Contact information
Practice address
1008 NE 7TH TER, UNIT C, CAPE CORAL, FL 33909-3100
(239) 458-1320
(239) 573-1340
Mailing address
1008 NE 7TH TER, UNIT C, CAPE CORAL, FL 33909-3100
(239) 458-1320
(239) 573-1340
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
YO BE ANNOUNCED
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING MEDICARE NSC #
FL
Enumeration date
08/10/2007
Last updated
05/27/2008
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