Organization Name: | CARDIOSOM, LLC |
NPI Number: | 1003077231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY JARRELL (PRESIDENT COO) |
Mailing Address: | 2151 Consulate Dr Unit 20 Orlando |
State: | FL US |
Postal Code: | 328378807 |
Phone Number: | 4078500367 |
Fax Number: | 4078566152 |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |