Healthcare Provider Details

I. General information

NPI: 1295443323
Provider Name (Legal Business Name): C&L MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 W SAND LAKE RD STE 224
ORLANDO FL
32819-5280
US

IV. Provider business mailing address

7345 W SAND LAKE RD STE 224
ORLANDO FL
32819-5280
US

V. Phone/Fax

Practice location:
  • Phone: 214-674-8108
  • Fax: 214-594-9098
Mailing address:
  • Phone: 214-674-8108
  • Fax: 214-594-9098

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: PATRICIA LABAR
Title or Position: PRES
Credential:
Phone: 214-674-8108