Healthcare Provider Details

I. General information

NPI: 1558984229
Provider Name (Legal Business Name): MEDEXPRESS GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 05/21/2021
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 PLAZA DR. UNIT C
LEHIGH ACRES FL
33936-6054
US

IV. Provider business mailing address

228 PLAZA DR. UNIT C
LEHIGH ACRES FL
33936-6054
US

V. Phone/Fax

Practice location:
  • Phone: 239-230-7122
  • Fax: 239-230-8995
Mailing address:
  • Phone: 239-230-7122
  • Fax: 239-230-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMAURY RODRIQUEZ
Title or Position: PRESIDENT
Credential:
Phone: 239-230-7122