Provider Demographics
NPI:1134143647
Name:TIMAR MEDICAL SUPPLIES CORP
Entity Type:Organization
Organization Name:TIMAR MEDICAL SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERIBER
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMATUJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-242-7606
Mailing Address - Street 1:950 N KROME AVE
Mailing Address - Street 2:SUITE 407 B
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4400
Mailing Address - Country:US
Mailing Address - Phone:305-242-7606
Mailing Address - Fax:305-242-7603
Practice Address - Street 1:950 N KROME AVE
Practice Address - Street 2:SUITE 407 B
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4400
Practice Address - Country:US
Practice Address - Phone:305-242-7606
Practice Address - Fax:305-242-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies