Provider Demographics
NPI:1053462853
Name:J & C MEDICAL EQUIPMENT & SERVICE, CORP
Entity Type:Organization
Organization Name:J & C MEDICAL EQUIPMENT & SERVICE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOPICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-646-5949
Mailing Address - Street 1:454 NW 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3364
Mailing Address - Country:US
Mailing Address - Phone:305-646-5944
Mailing Address - Fax:305-646-5949
Practice Address - Street 1:454 NW 22ND AVE
Practice Address - Street 2:106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3364
Practice Address - Country:US
Practice Address - Phone:305-646-5944
Practice Address - Fax:305-646-5949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5914020003Medicare NSC