Provider Demographics
NPI:1154889970
Name:QUALITY MED SUPPLY INC
Entity type:Organization
Organization Name:QUALITY MED SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-800-3412
Mailing Address - Street 1:413 NE VAN LOON LN STE 120
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2537
Mailing Address - Country:US
Mailing Address - Phone:239-800-3412
Mailing Address - Fax:239-800-3404
Practice Address - Street 1:413 NE VAN LOON LN STE 120
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2537
Practice Address - Country:US
Practice Address - Phone:239-800-3412
Practice Address - Fax:239-800-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies