Provider Demographics
NPI:1689776551
Name:LIMA MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:LIMA MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAREL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-7172
Mailing Address - Street 1:8001 WEST 26 AVENUE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2753
Mailing Address - Country:US
Mailing Address - Phone:305-883-7172
Mailing Address - Fax:305-883-8911
Practice Address - Street 1:8001 WEST 26 AVENUE
Practice Address - Street 2:SUITE 4
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2753
Practice Address - Country:US
Practice Address - Phone:305-883-7172
Practice Address - Fax:305-883-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL435332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951424400Medicaid
FL1019850001Medicare ID - Type Unspecified