Cleveland Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLEVELAND MEDICAL SUPPLY INC

Practice address

1306 SE 46TH LN Ste 1B
Cape Coral, FL 33904-8647

Phone

(239) 984-2814

Fax

(239) 984-2212

NPI assigned

Jul 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose Luis Hernandez

Title

President

Phone

(239) 984-2814

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1336758945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 SE 46TH LN STE 1B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048647",
            "telephone_number": "239-984-2814",
            "fax_number": "239-984-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 SE 46TH LN STE 1B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048647",
            "telephone_number": "239-984-2814",
            "fax_number": "239-984-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-984-2814"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Clark, D.O.
• Michelle E Clark, APRN
• Omar-Shay Clark, DC
• Alan B Claunch, MD
• Ana Margarita Clavijo Hernandez, BCBA
• Clinica Medica Camaguey Primary Care LLC
• Clinical & Preventive Cardiology Inc
• John Michael Clochesy
• Heather Close
• Maude Clouse, MS CCC-SLP

• Durable Medical Equipment & Medical Supplies in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.