Provider Demographics
NPI:1275601981
Name:PREFERRED SERVICE OF FLORIDA CORPORATION
Entity Type:Organization
Organization Name:PREFERRED SERVICE OF FLORIDA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANRRY
Authorized Official - Middle Name:
Authorized Official - Last Name:AZOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-896-3829
Mailing Address - Street 1:16300 NE 19TH AVE
Mailing Address - Street 2:SUITE 242
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16300 NE 19TH AVE
Practice Address - Street 2:SUITE 242
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4883
Practice Address - Country:US
Practice Address - Phone:305-896-3829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies