Provider Demographics
NPI:1962194126
Name:NAPLES DME SUPPLY LLC
Entity type:Organization
Organization Name:NAPLES DME SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BUCK
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:CAMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-966-4804
Mailing Address - Street 1:660 TAMIAMI TRL N STE 21
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8133
Mailing Address - Country:US
Mailing Address - Phone:800-966-4804
Mailing Address - Fax:
Practice Address - Street 1:660 TAMIAMI TRL N STE 21
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8133
Practice Address - Country:US
Practice Address - Phone:800-966-4804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies