Provider Demographics
NPI:1497706006
Name:COURIERMED INC
Entity Type:Organization
Organization Name:COURIERMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-919-9187
Mailing Address - Street 1:16401 NW 2ND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6036
Mailing Address - Country:US
Mailing Address - Phone:866-919-9187
Mailing Address - Fax:866-919-9186
Practice Address - Street 1:16401 NW 2ND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-6036
Practice Address - Country:US
Practice Address - Phone:866-919-9187
Practice Address - Fax:866-919-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5674380001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER