Provider Demographics
NPI:1699840553
Name:HC MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:HC MEDICAL EQUIPMENT INC
Other - Org Name:HELEN CRUZ MONGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ-MONGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-672-0099
Mailing Address - Street 1:2591 NORTH FORSYTH ROAD
Mailing Address - Street 2:UNIT C
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807
Mailing Address - Country:US
Mailing Address - Phone:407-672-0099
Mailing Address - Fax:407-671-0091
Practice Address - Street 1:2591 NORTH FORSYTH ROAD
Practice Address - Street 2:UNIT C
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807
Practice Address - Country:US
Practice Address - Phone:407-672-0099
Practice Address - Fax:407-671-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL032020000Medicaid
FL032020000Medicaid