Provider Demographics
NPI:1528231222
Name:DORAL MED-PLUS INC
Entity Type:Organization
Organization Name:DORAL MED-PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BEDELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-331-7157
Mailing Address - Street 1:8135 NW 33RD ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1005
Mailing Address - Country:US
Mailing Address - Phone:786-331-7157
Mailing Address - Fax:305-718-4034
Practice Address - Street 1:8135 NW 33RD ST
Practice Address - Street 2:SUITE D
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1005
Practice Address - Country:US
Practice Address - Phone:786-331-7157
Practice Address - Fax:305-718-4034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPPLIED FOR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6125650001Medicare NSC