Healthcare Provider Details

I. General information

NPI: 1740366418
Provider Name (Legal Business Name): CORAL MEDICAL EQUIPMENT & SUPPLY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87899 OVERSEAS HWY
ISLAMORADA FL
33036-3076
US

IV. Provider business mailing address

PO BOX 9720
TAVERNIER FL
33070-9720
US

V. Phone/Fax

Practice location:
  • Phone: 305-852-4393
  • Fax:
Mailing address:
  • Phone: 305-852-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateFL

VIII. Authorized Official

Name: CATHY BATTREALL
Title or Position: SENIOR VP
Credential:
Phone: 305-852-4393