Provider Demographics
NPI:1083727010
Name:CITY MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:CITY MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-868-1485
Mailing Address - Street 1:20815 NE 16TH AVE
Mailing Address - Street 2:B34
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2138
Mailing Address - Country:US
Mailing Address - Phone:305-493-3744
Mailing Address - Fax:305-493-1495
Practice Address - Street 1:20815 NE 16TH AVE
Practice Address - Street 2:B34
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-2138
Practice Address - Country:US
Practice Address - Phone:305-493-3744
Practice Address - Fax:305-493-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL858332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1172380001Medicare NSC