Provider Demographics
NPI:1104370576
Name:SINAICARE DME LLC
Entity Type:Organization
Organization Name:SINAICARE DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:GITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-867-1228
Mailing Address - Street 1:441 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33128-1020
Mailing Address - Country:US
Mailing Address - Phone:305-867-1228
Mailing Address - Fax:855-552-3776
Practice Address - Street 1:441 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1020
Practice Address - Country:US
Practice Address - Phone:305-867-1228
Practice Address - Fax:855-552-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies