Provider Demographics
NPI:1609910611
Name:MAGIC HEALTH EQUIPMENT, INC.
Entity Type:Organization
Organization Name:MAGIC HEALTH EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:CAMACHO
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-1734
Mailing Address - Street 1:730 SE 8TH ST
Mailing Address - Street 2:SUITE 108-B
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5646
Mailing Address - Country:US
Mailing Address - Phone:305-888-1734
Mailing Address - Fax:305-888-1759
Practice Address - Street 1:730 SE 8TH ST
Practice Address - Street 2:SUITE 108-B
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5646
Practice Address - Country:US
Practice Address - Phone:305-888-1734
Practice Address - Fax:305-888-1759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING PROVIDER #Medicare ID - Type UnspecifiedMEDICARE PROVIDER