Provider Demographics
NPI:1053996702
Name:WEST FL MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:WEST FL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LORENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLES CARDOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-237-2089
Mailing Address - Street 1:11595 KELLY RD STE 316
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-2572
Mailing Address - Country:US
Mailing Address - Phone:239-237-2089
Mailing Address - Fax:
Practice Address - Street 1:11595 KELLY RD STE 316
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-2572
Practice Address - Country:US
Practice Address - Phone:239-237-2089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies