Provider Demographics
NPI:1144392747
Name:NDL MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:NDL MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-269-7700
Mailing Address - Street 1:993 SW 69TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4730
Mailing Address - Country:US
Mailing Address - Phone:305-269-7700
Mailing Address - Fax:305-269-7005
Practice Address - Street 1:993 SW 69TH AVE STE A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4730
Practice Address - Country:US
Practice Address - Phone:305-269-7700
Practice Address - Fax:305-269-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1313274OtherAHCA
FL326515OtherMEDICAL OXYGEN RETAILER
FLS10467OtherBOC
FL032501500Medicaid
FL=========OtherTAX ID