Provider Demographics
NPI:1649221243
Name:TAMIAMI MEDICAL EQUIPMENT SERVICES
Entity Type:Organization
Organization Name:TAMIAMI MEDICAL EQUIPMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIXA
Authorized Official - Middle Name:SHILING
Authorized Official - Last Name:FLEITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-238-1151
Mailing Address - Street 1:13325 SW 135TH AVE
Mailing Address - Street 2:# 13
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6267
Mailing Address - Country:US
Mailing Address - Phone:305-238-1151
Mailing Address - Fax:305-238-2799
Practice Address - Street 1:13325 SW 135TH AVE
Practice Address - Street 2:# 13
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6267
Practice Address - Country:US
Practice Address - Phone:305-238-1151
Practice Address - Fax:305-238-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
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
FL5326280001Medicare NSC