Provider Demographics
NPI:1740833987
Name:TRISTAR MEDICAL, LLC
Entity type:Organization
Organization Name:TRISTAR MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMKHELAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-604-9595
Mailing Address - Street 1:400 W 41ST ST STE 401
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3516
Mailing Address - Country:US
Mailing Address - Phone:305-604-9595
Mailing Address - Fax:305-604-9257
Practice Address - Street 1:400 W 41ST ST STE 401
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3516
Practice Address - Country:US
Practice Address - Phone:305-604-9595
Practice Address - Fax:305-604-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty