Provider Demographics
NPI:1588766729
Name:MEDICAL EXPRESS SUPPLIES INC.
Entity type:Organization
Organization Name:MEDICAL EXPRESS SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAURADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-573-5056
Mailing Address - Street 1:14707 S DIXIE HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7948
Mailing Address - Country:US
Mailing Address - Phone:786-573-5056
Mailing Address - Fax:786-573-5421
Practice Address - Street 1:14707 S DIXIE HWY STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7950
Practice Address - Country:US
Practice Address - Phone:786-573-5056
Practice Address - Fax:786-573-5421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312874332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5643560001Medicare NSC