Provider Demographics
NPI:1275867947
Name:FLORIDA HOME MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:FLORIDA HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:ATENDA HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-874-0250
Mailing Address - Street 1:3700 COMMERCE PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3912
Mailing Address - Country:US
Mailing Address - Phone:954-874-0250
Mailing Address - Fax:954-874-4124
Practice Address - Street 1:5570 FLORIDA MINING BLVD S
Practice Address - Street 2:SUITE 402
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-3246
Practice Address - Country:US
Practice Address - Phone:904-260-6360
Practice Address - Fax:904-260-6372
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA HOME MEDICAL EQUIPMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313339332B00000X
FL326602332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies