Provider Demographics
NPI:1235117870
Name:DME MEDICAL, INC.
Entity Type:Organization
Organization Name:DME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANISIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-322-0511
Mailing Address - Street 1:2950 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5104
Mailing Address - Country:US
Mailing Address - Phone:954-322-0511
Mailing Address - Fax:
Practice Address - Street 1:2950 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:PEMBROKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33009-5104
Practice Address - Country:US
Practice Address - Phone:954-322-0511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2199332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4836730002Medicare NSC
4836730001Medicare NSC