Provider Demographics
NPI:1194267252
Name:MEDIG MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:MEDIG MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-374-2818
Mailing Address - Street 1:4410 W NEWBERRY RD
Mailing Address - Street 2:SUITE A2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-5200
Mailing Address - Country:US
Mailing Address - Phone:352-374-2818
Mailing Address - Fax:352-381-7300
Practice Address - Street 1:4410 W NEWBERRY RD
Practice Address - Street 2:SUITE A2
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-5200
Practice Address - Country:US
Practice Address - Phone:352-374-2818
Practice Address - Fax:352-381-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies