Provider Demographics
NPI:1447465562
Name:IVO MEDICAL SERVICES
Entity type:Organization
Organization Name:IVO MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAIAH
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:OGLESBY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-345-8438
Mailing Address - Street 1:11740 SW 119TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3984
Mailing Address - Country:US
Mailing Address - Phone:305-969-2555
Mailing Address - Fax:
Practice Address - Street 1:11740 SW 119TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-3984
Practice Address - Country:US
Practice Address - Phone:305-969-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies