Provider Demographics
NPI:1154958650
Name:DIMA MEDICAL SUPPLIES, INC
Entity type:Organization
Organization Name:DIMA MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIDIET
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIDO BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-978-1585
Mailing Address - Street 1:3512 18TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-3423
Mailing Address - Country:US
Mailing Address - Phone:305-647-6004
Mailing Address - Fax:786-796-7769
Practice Address - Street 1:3512 18TH ST SW
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33976-3423
Practice Address - Country:US
Practice Address - Phone:305-647-6004
Practice Address - Fax:786-796-7769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies