Provider Demographics
NPI:1437949674
Name:ASSIST MEDICAL AND WELLNESS SUPPLY LLC
Entity type:Organization
Organization Name:ASSIST MEDICAL AND WELLNESS SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDIDIONG
Authorized Official - Middle Name:IME
Authorized Official - Last Name:AKPAKPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-208-5697
Mailing Address - Street 1:601 CLEVELAND ST STE 501-5
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-4172
Mailing Address - Country:US
Mailing Address - Phone:727-208-5697
Mailing Address - Fax:727-208-5698
Practice Address - Street 1:601 CLEVELAND ST STE 501-5
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-4172
Practice Address - Country:US
Practice Address - Phone:727-208-5697
Practice Address - Fax:727-208-5698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies