1720002348 NPI number — M & S MEDICAL RENTAL SUPPLIES, INC.

Table of content: (NPI 1720002348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720002348 NPI number — M & S MEDICAL RENTAL SUPPLIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M & S MEDICAL RENTAL 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:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720002348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
655 WILMA ST
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
LONGWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32750-4906
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-830-1166
Provider Business Mailing Address Fax Number:
407-830-0911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
655 WILMA ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
LONGWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32750-4906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-830-1166
Provider Business Practice Location Address Fax Number:
407-830-0911
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINEZ
Authorized Official First Name:
MIGUEL
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
407-830-1166

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  1312050 , 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)





Copyright © 2007-2025 www.npivalidator.com