Provider Demographics
NPI:1194897074
Name:CAPE MEDICAL, INC.
Entity type:Organization
Organization Name:CAPE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:NEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-246-8804
Mailing Address - Street 1:4051 NW 43RD ST
Mailing Address - Street 2:SUITE 32
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-2511
Mailing Address - Country:US
Mailing Address - Phone:800-491-0018
Mailing Address - Fax:
Practice Address - Street 1:4051 NW 43RD ST
Practice Address - Street 2:SUITE 32
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-2511
Practice Address - Country:US
Practice Address - Phone:800-491-0018
Practice Address - Fax:877-362-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701844Medicaid
NC7701844Medicaid