Provider Demographics
NPI:1326032905
Name:TLC RENTAL MEDICAL EQUIPMENT CORP.
Entity Type:Organization
Organization Name:TLC RENTAL MEDICAL EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEMENDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-685-7299
Mailing Address - Street 1:474 E 49TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1869
Mailing Address - Country:US
Mailing Address - Phone:305-685-7299
Mailing Address - Fax:305-685-8682
Practice Address - Street 1:474 E 49TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1869
Practice Address - Country:US
Practice Address - Phone:305-685-7299
Practice Address - Fax:305-685-8682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL32: 00842332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029887500Medicaid
FLR7237OtherBCBS OF FL PROVIDER
FL0608480001Medicare ID - Type UnspecifiedPALMETTO GBA (NSC)