Provider Demographics
NPI:1750853248
Name:PREMEER MEDICAL SUPPLY & EQUIPMENT
Entity Type:Organization
Organization Name:PREMEER MEDICAL SUPPLY & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-285-4249
Mailing Address - Street 1:PO BOX 350852
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-0852
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2601 NW 16TH STREET RD APT 718
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1491
Practice Address - Country:US
Practice Address - Phone:786-285-4249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies