Provider Demographics
NPI:1508845140
Name:DANIA MEDICAL EQUIPMENT & SUPPLIES INC.
Entity Type:Organization
Organization Name:DANIA MEDICAL EQUIPMENT & SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-926-6410
Mailing Address - Street 1:354 E DANIA BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3020
Mailing Address - Country:US
Mailing Address - Phone:954-926-6410
Mailing Address - Fax:954-926-6448
Practice Address - Street 1:354 E DANIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:DANIA
Practice Address - State:FL
Practice Address - Zip Code:33004-3020
Practice Address - Country:US
Practice Address - Phone:954-926-6410
Practice Address - Fax:954-926-6448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL643166Medicaid
=========OtherUNITED HEALTHCARE
FL643166Medicaid
=========OtherUNITED HEALTHCARE