Provider Demographics
NPI:1083645790
Name:SPECIAL MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:SPECIAL MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER RESPIRATORY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:SORI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:954-433-0821
Mailing Address - Street 1:3794 BIMINI AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4642
Mailing Address - Country:US
Mailing Address - Phone:954-433-0821
Mailing Address - Fax:
Practice Address - Street 1:20815 NE 16TH AVE
Practice Address - Street 2:STE B-32
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2138
Practice Address - Country:US
Practice Address - Phone:305-249-6883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLH77506332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0178440001Medicare NSC