| Organization Name: | DME SHOPPE - FT MYERS INC |
| NPI Number: | 1083616791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL L METHOD (PRESIDENT) |
| Mailing Address: | 4300 Ford Street Ext Unit 101 Ft Myers |
| State: | FL US |
| Postal Code: | 339169317 |
| Phone Number: | 2399367070 |
| Fax Number: | 2399367367 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |