Provider Demographics
NPI:1962443846
Name:A & V DURABLE MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:A & V DURABLE MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-828-8283
Mailing Address - Street 1:2464 W 80TH ST
Mailing Address - Street 2:BAY #3
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2779
Mailing Address - Country:US
Mailing Address - Phone:305-828-8283
Mailing Address - Fax:305-828-8909
Practice Address - Street 1:2464 W 80TH ST
Practice Address - Street 2:BAY #3
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2779
Practice Address - Country:US
Practice Address - Phone:305-828-8283
Practice Address - Fax:305-828-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0383170001Medicare NSC