Provider Demographics
NPI:1366958753
Name:WEST BAY MEDICAL SUPPLY, INC
Entity type:Organization
Organization Name:WEST BAY MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-232-7766
Mailing Address - Street 1:801 W BAY DR STE 316
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3264
Mailing Address - Country:US
Mailing Address - Phone:727-351-7151
Mailing Address - Fax:
Practice Address - Street 1:801 W BAY DR STE 316
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3264
Practice Address - Country:US
Practice Address - Phone:727-351-7151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies