Provider Demographics
NPI:1114042280
Name:ANI MEDICAL EQUIPMENT,INC
Entity Type:Organization
Organization Name:ANI MEDICAL EQUIPMENT,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:C
Authorized Official - Last Name:VICHOT
Authorized Official - Suffix:
Authorized Official - Credentials:NESTOR C VICHOT
Authorized Official - Phone:305-599-2909
Mailing Address - Street 1:2500 N.W 79TH AVE
Mailing Address - Street 2:SUITE 121
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1075
Mailing Address - Country:US
Mailing Address - Phone:305-599-2909
Mailing Address - Fax:305-599-2910
Practice Address - Street 1:2500 NW 79TH AVE
Practice Address - Street 2:SUITE 121
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1073
Practice Address - Country:US
Practice Address - Phone:305-599-2909
Practice Address - Fax:305-599-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies