Provider Demographics
NPI:1073526612
Name:HEALTH SKY INC
Entity Type:Organization
Organization Name:HEALTH SKY INC
Other - Org Name:HEALTH SKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RABDEM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-591-2911
Mailing Address - Street 1:7303 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1910
Mailing Address - Country:US
Mailing Address - Phone:305-591-2911
Mailing Address - Fax:305-591-1816
Practice Address - Street 1:7303 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1910
Practice Address - Country:US
Practice Address - Phone:305-591-2911
Practice Address - Fax:305-591-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5740060001Medicare NSC