Provider Demographics
NPI:1124074257
Name:SUNNY DURABLE MEDICAL EQUIPMENT CO.
Entity type:Organization
Organization Name:SUNNY DURABLE MEDICAL EQUIPMENT CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZHAJAI
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-333-7216
Mailing Address - Street 1:2136 SW 7TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-7743
Mailing Address - Country:US
Mailing Address - Phone:239-333-7216
Mailing Address - Fax:239-574-7276
Practice Address - Street 1:4066 EVANS AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9384
Practice Address - Country:US
Practice Address - Phone:239-275-5607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies