Provider Demographics
NPI:1457025710
Name:FLEXIBLE HEALTH MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:FLEXIBLE HEALTH MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA SALCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-515-4700
Mailing Address - Street 1:1840 W 49TH ST STE 222
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2949
Mailing Address - Country:US
Mailing Address - Phone:786-515-4700
Mailing Address - Fax:
Practice Address - Street 1:1840 W 49TH ST STE 222
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2949
Practice Address - Country:US
Practice Address - Phone:786-515-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS62373OtherCERTIFICATE