Healthcare Provider Details

I. General information

NPI: 1972580421
Provider Name (Legal Business Name): DARTMOUTH MEDICAL EQUIPMENT & SUPPLY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CYPRESSWOOD CT
WINTER SPRINGS FL
32708-4216
US

IV. Provider business mailing address

920 CYPRESSWOOD CT
WINTER SPRINGS FL
32708-4216
US

V. Phone/Fax

Practice location:
  • Phone: 407-375-2011
  • Fax: 407-359-2071
Mailing address:
  • Phone: 407-375-2011
  • Fax: 407-359-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER FOPPIAN
Title or Position: OWNER
Credential:
Phone: 407-375-2011