FOUR CORNERS MEDICAL SUPPLY NPI 1528091774

NPI Information

FOUR CORNERS MEDICAL SUPPLY is a durable medical equipment medical supplies in Clermont, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FOUR CORNERS MEDICAL SUPPLY NPI is 1528091774. The provider is registered as an organization entity type.

The provider's business location address is:

1050 US HIGHWAY 27
SUITE 20
CLERMONT, FL
ZIP 34714-508
Phone: (352) 243-7477
Fax: (352) 243-7877

The provider's authorized official is Luis B Mendoza .
The authorized official title is President and has the following contact phone number (352) 243-7477.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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