MEDICARE: CORAL MEDICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	0446615	FL

General Provider Information

NPI Number	:	1619182664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORAL MEDICAL INC

Provider Business Mailing Address
First Line	:	1946 NW 85TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6258
Country	:	US
Telephone Number	:	954-752-7818
Fax Number	:	954-752-7216

Provider Business Practice Location Address
First Line	:	1946 NW 85TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6258
Country	:	US
Telephone Number	:	954-752-7818
Fax Number	:	954-752-7216

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD DRAPKIN
Credential	:
Telephone Number	:	954-752-7818

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	08/22/2020

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