Provider Demographics
NPI:1801841853
Name:FLORIDA HOME MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:FLORIDA HOME MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-874-0250
Mailing Address - Street 1:3451 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3916
Mailing Address - Country:US
Mailing Address - Phone:954-874-0250
Mailing Address - Fax:
Practice Address - Street 1:3451 EXECUTIVE WAY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3916
Practice Address - Country:US
Practice Address - Phone:954-874-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1704332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4517350001Medicare ID - Type Unspecified