Healthcare Provider Details

I. General information

NPI: 1215566047
Provider Name (Legal Business Name): CWB MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 E BAY DR STE 107
LARGO FL
33771-1900
US

IV. Provider business mailing address

3233 E BAY DR STE 107
LARGO FL
33771-1900
US

V. Phone/Fax

Practice location:
  • Phone: 727-316-5485
  • Fax: 866-574-5374
Mailing address:
  • Phone: 727-316-5485
  • Fax: 866-574-5374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL PANTELIDES
Title or Position: OWNER
Credential:
Phone: 727-316-5485