Provider Demographics
NPI:1760439970
Name:DALICE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:DALICE MEDICAL EQUIPMENT INC
Other - Org Name:DALICE PHARMACY MEDICAL EQUIPMENT INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-3292
Mailing Address - Street 1:7844 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6551
Mailing Address - Country:US
Mailing Address - Phone:305-267-3292
Mailing Address - Fax:305-267-9663
Practice Address - Street 1:7844 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6551
Practice Address - Country:US
Practice Address - Phone:305-267-3292
Practice Address - Fax:305-267-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME # 1312248332B00000X
FLPH 224153336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5126170001Medicare NSC