Provider Demographics
NPI:1467432369
Name:FRIENDS MEDICAL EQUIPMENT & SUPPLIES INC
Entity Type:Organization
Organization Name:FRIENDS MEDICAL EQUIPMENT & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CADAVIECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-621-5351
Mailing Address - Street 1:3450 WEST 84 STREET
Mailing Address - Street 2:SUITE 102 A
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018
Mailing Address - Country:US
Mailing Address - Phone:786-621-5351
Mailing Address - Fax:786-621-5352
Practice Address - Street 1:3450 WEST 84 STREET
Practice Address - Street 2:SUITE 102 A
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018
Practice Address - Country:US
Practice Address - Phone:786-621-5351
Practice Address - Fax:786-621-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2205AHCA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4644980001Medicare ID - Type Unspecified