Provider Demographics
NPI:1033204102
Name:J & D MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:J & D MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:DE
Authorized Official - Last Name:PAVON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-473-4997
Mailing Address - Street 1:655 W 68TH ST
Mailing Address - Street 2:APT 4
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4889
Mailing Address - Country:US
Mailing Address - Phone:305-823-5742
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE
Practice Address - Street 2:STE 275
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1073
Practice Address - Country:US
Practice Address - Phone:786-473-4997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies