Provider Demographics
NPI:1093439085
Name:MEDDI BUDDY INC
Entity Type:Organization
Organization Name:MEDDI BUDDY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-554-0319
Mailing Address - Street 1:10550 NW 77TH CT STE 309
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2072
Mailing Address - Country:US
Mailing Address - Phone:786-554-0319
Mailing Address - Fax:
Practice Address - Street 1:10550 NW 77TH CT STE 309
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2072
Practice Address - Country:US
Practice Address - Phone:786-554-0319
Practice Address - Fax:305-504-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care