Healthcare Provider Details

I. General information

NPI: 1801026703
Provider Name (Legal Business Name): CMO MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2009
Last Update Date: 07/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6065 IBIS ST
SARASOTA FL
34241-9284
US

IV. Provider business mailing address

6065 IBIS ST
SARASOTA FL
34241-9284
US

V. Phone/Fax

Practice location:
  • Phone: 941-929-0910
  • Fax: 941-927-7277
Mailing address:
  • Phone: 941-929-0910
  • Fax: 941-927-7277

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: MR. TODD M RINCON
Title or Position: VICE-PRESIDENT
Credential:
Phone: 941-586-1006