| NPI | 1235735002 |
|---|---|
| Former Legal Business Name | MEDICAL EXPRESS DEPOT LLC |
| Doing Business As | PROVIDER |
| Entity Type | Organization |
| Authorized Contact | IRIS SANTIAGO Owner 407-704-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |