1407812605 NPI number — CONTINENTAL MEDICAL SUPPLIES INC

Table of content: MR. TIMOTHY MARK ZETZSCHE LPCC (NPI 1336800952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407812605 NPI number — CONTINENTAL MEDICAL SUPPLIES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONTINENTAL MEDICAL SUPPLIES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1407812605
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6850 CORAL WAY
Provider Second Line Business Mailing Address:
STE 204
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33155-1758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-662-6272
Provider Business Mailing Address Fax Number:
305-668-7717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6850 CORAL WAY
Provider Second Line Business Practice Location Address:
STE 204
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33155-1758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-662-6272
Provider Business Practice Location Address Fax Number:
305-668-7717
Provider Enumeration Date:
04/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BLANCO
Authorized Official First Name:
GUILLERMO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-662-6272

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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