MEDICARE: WELLINGTON MEDICAL SUPPLIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1497466221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLINGTON MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	3111 FORTUNE WAY STE B17
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-8707
Country	:	US
Telephone Number	:	754-271-8064
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 FORTUNE WAY STE B17
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-8707
Country	:	US
Telephone Number	:	754-271-8064
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IROEL NAPOLE
Credential	:
Telephone Number	:	754-271-8064

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	12/13/2022

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Directions to “WELLINGTON MEDICAL SUPPLIES INC ” Practice Location

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