Provider Demographics
NPI:1831119312
Name:MED HEALTH EQUIPMENT LLC
Entity Type:Organization
Organization Name:MED HEALTH EQUIPMENT LLC
Other - Org Name:MEDHEALTH EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-8208
Mailing Address - Street 1:7205 NW 68TH ST STE 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3016
Mailing Address - Country:US
Mailing Address - Phone:305-882-8883
Mailing Address - Fax:
Practice Address - Street 1:7205 NW 68TH ST STE 9
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-3016
Practice Address - Country:US
Practice Address - Phone:305-882-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X
FLPH238663336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2118961OtherPK
2118961OtherPK
5572540001Medicare NSC
FL002466101Medicaid