Provider Demographics
NPI:1932498094
Name:DOCTORS CHOICE MEDICAL RENTAL & SUPPLIES, INC
Entity Type:Organization
Organization Name:DOCTORS CHOICE MEDICAL RENTAL & SUPPLIES, INC
Other - Org Name:DOCTORS CHOICE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-9161
Mailing Address - Street 1:7440 SW 50TH TER
Mailing Address - Street 2:UNIT 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4492
Mailing Address - Country:US
Mailing Address - Phone:305-661-9161
Mailing Address - Fax:305-661-9194
Practice Address - Street 1:7440 SW 50TH TER
Practice Address - Street 2:UNIT 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4492
Practice Address - Country:US
Practice Address - Phone:305-661-9161
Practice Address - Fax:305-661-9194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL463332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL672316198Medicaid