Provider Demographics
NPI:1497466221
Name:WELLINGTON MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:WELLINGTON MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IROEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-271-8064
Mailing Address - Street 1:3111 FORTUNE WAY STE B17
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8707
Mailing Address - Country:US
Mailing Address - Phone:754-271-8064
Mailing Address - Fax:
Practice Address - Street 1:3111 FORTUNE WAY STE B17
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8707
Practice Address - Country:US
Practice Address - Phone:754-271-8064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies