Healthcare Provider Details

I. General information

NPI: 1811989296
Provider Name (Legal Business Name): DREW MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9582 W COLONIAL DR
OCOEE FL
34761-6992
US

IV. Provider business mailing address

9582 W COLONIAL DR
OCOEE FL
34761-6992
US

V. Phone/Fax

Practice location:
  • Phone: 407-363-6700
  • Fax: 407-363-5979
Mailing address:
  • Phone: 407-363-6700
  • Fax: 407-363-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAUREEN NORMAN
Title or Position: CONTRACTING
Credential:
Phone: 407-363-6700