Provider Demographics
NPI:1992885727
Name:CENTRAL MEDICAL SYSTEMS LLC
Entity type:Organization
Organization Name:CENTRAL MEDICAL SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:TRENT
Authorized Official - Last Name:HARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-330-2313
Mailing Address - Street 1:1221 E BROADWAY ST STE 1021
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7829
Mailing Address - Country:US
Mailing Address - Phone:800-330-2313
Mailing Address - Fax:
Practice Address - Street 1:1221 E BROADWAY ST STE 1021
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7829
Practice Address - Country:US
Practice Address - Phone:800-330-2313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0255470001Medicare NSC