Provider Demographics
NPI:1629398482
Name:MED HEALTH EQUIPMENT LLC
Entity Type:Organization
Organization Name:MED HEALTH EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-8883
Mailing Address - Street 1:7205 NW 68TH ST #9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-882-8883
Mailing Address - Fax:
Practice Address - Street 1:7205 NW 68TH ST
Practice Address - Street 2:9
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-3016
Practice Address - Country:US
Practice Address - Phone:305-882-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH242063336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy