Provider Demographics
NPI:1962078014
Name:WIRE MEDICAL INC
Entity type:Organization
Organization Name:WIRE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-476-4010
Mailing Address - Street 1:924 N MAGNOLIA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3220
Mailing Address - Country:US
Mailing Address - Phone:407-476-4010
Mailing Address - Fax:
Practice Address - Street 1:924 N MAGNOLIA AVE STE 202
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3220
Practice Address - Country:US
Practice Address - Phone:407-476-4010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-30
Last Update Date:2021-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No2472B0301XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherBiomedical EngineeringGroup - Multi-Specialty