Provider Demographics
NPI:1760596613
Name:N & D MEDICAL EQUIPMENT OF FLORIDA INC
Entity Type:Organization
Organization Name:N & D MEDICAL EQUIPMENT OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIURKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-2889
Mailing Address - Street 1:650 PALM AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4315
Mailing Address - Country:US
Mailing Address - Phone:305-888-2889
Mailing Address - Fax:305-888-2821
Practice Address - Street 1:650 PALM AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4315
Practice Address - Country:US
Practice Address - Phone:305-888-2889
Practice Address - Fax:305-888-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FLPH212573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026881001Medicaid
FL026881000Medicaid
FL026881001Medicaid
FL=========OtherEIN