Provider Demographics
NPI:1356851257
Name:ZANDO DIST INC
Entity Type:Organization
Organization Name:ZANDO DIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORBERTO
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:HERNANDEZ DIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-405-7791
Mailing Address - Street 1:12864 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2007
Mailing Address - Country:US
Mailing Address - Phone:786-405-7791
Mailing Address - Fax:
Practice Address - Street 1:12864 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2007
Practice Address - Country:US
Practice Address - Phone:786-405-7791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies