Provider Demographics
NPI:1114946803
Name:ZDA MEDICAL EQUIPMENT.INC
Entity Type:Organization
Organization Name:ZDA MEDICAL EQUIPMENT.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-967-1404
Mailing Address - Street 1:941 S. MILITARY TRAIL
Mailing Address - Street 2:UNIT F-8
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415
Mailing Address - Country:US
Mailing Address - Phone:561-967-1404
Mailing Address - Fax:561-967-2264
Practice Address - Street 1:941 S. MILITARY TRAIL
Practice Address - Street 2:UNIT F-8
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415
Practice Address - Country:US
Practice Address - Phone:561-967-1404
Practice Address - Fax:561-967-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1048370001Medicare NSC