Healthcare Provider Details

I. General information

NPI: 1710851910
Provider Name (Legal Business Name): MEDICAL EQUIPMENT SPECIALISTS WEST COAST FL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/15/2026
Certification Date: 10/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7695 SW ELLIPSE WAY
STUART FL
34997-7251
US

IV. Provider business mailing address

7695 SW ELLIPSE WAY
STUART FL
34997-7251
US

V. Phone/Fax

Practice location:
  • Phone: 772-777-8109
  • Fax: 800-856-5234
Mailing address:
  • Phone: 772-777-8109
  • Fax: 800-856-5234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY SCOTT CORDING
Title or Position: MANAGING MEMBER
Credential:
Phone: 772-777-8109