Provider Demographics
NPI:1164521233
Name:FLEMING MEDICAL EQUIPMENT,CORP
Entity Type:Organization
Organization Name:FLEMING MEDICAL EQUIPMENT,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-822-1415
Mailing Address - Street 1:3825 W 16TH AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7005
Mailing Address - Country:US
Mailing Address - Phone:305-822-1415
Mailing Address - Fax:305-822-1416
Practice Address - Street 1:3825 W 16TH AVE
Practice Address - Street 2:STE 3
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7005
Practice Address - Country:US
Practice Address - Phone:305-822-1415
Practice Address - Fax:305-822-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5784440001Medicare NSC