Provider Demographics
NPI:1255438412
Name:TRI COUNTY MEDICAL SUPPLIES, INC.
Entity type:Organization
Organization Name:TRI COUNTY MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUYIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-651-0596
Mailing Address - Street 1:18800 NW 2ND AVE
Mailing Address - Street 2:220D
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4063
Mailing Address - Country:US
Mailing Address - Phone:305-651-0596
Mailing Address - Fax:305-651-0597
Practice Address - Street 1:18800 NW 2ND AVE
Practice Address - Street 2:220D
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4063
Practice Address - Country:US
Practice Address - Phone:305-651-0596
Practice Address - Fax:305-651-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL32 6401332BX2000X
FL1313132332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5779680001Medicare NSC