Organization · NPI-2

Clean Medics, LLC

Durable Medical Equipment & Medical Supplies · Port Charlotte, FL

NPI number1649864208
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1649864208
Entity type
Organization (NPI-2)
Legal business name
Clean Medics, LLC
Organization subpart
No
Enumeration date
Feb 24, 2021
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1620 Tamiami Trl Ste 214
Port Charlotte, FL 33948-4017

Phone 941-909-6020

Mailing address

1620 Tamiami Trl Ste 214
Port Charlotte, FL 33948-4017

Authorized official

Estefania Perez
Director
3236847024

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