Provider Demographics
NPI:1922029487
Name:ULTIMATE MEDICAL EQUIPMENT'S AND SUPPLIES, INC
Entity Type:Organization
Organization Name:ULTIMATE MEDICAL EQUIPMENT'S AND SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-247-7035
Mailing Address - Street 1:43 NE 10TH ST
Mailing Address - Street 2:REAR
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4613
Mailing Address - Country:US
Mailing Address - Phone:305-247-7035
Mailing Address - Fax:305-242-9442
Practice Address - Street 1:43 NE 10TH ST
Practice Address - Street 2:REAR
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4613
Practice Address - Country:US
Practice Address - Phone:305-247-7035
Practice Address - Fax:305-242-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5653500001Medicare NSC