Provider Demographics
NPI:1275580110
Name:H&O MEDICAL SUPPLY CORP.
Entity Type:Organization
Organization Name:H&O MEDICAL SUPPLY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HIDELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-364-3392
Mailing Address - Street 1:15315 NW 60TH AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2468
Mailing Address - Country:US
Mailing Address - Phone:305-364-3392
Mailing Address - Fax:305-364-3393
Practice Address - Street 1:15315 NW 60TH AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2468
Practice Address - Country:US
Practice Address - Phone:305-364-3392
Practice Address - Fax:305-364-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME1312255332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5170500001Medicare NSC