Provider Demographics
NPI:1336829308
Name:INTERNATIONAL MEDICAL EQUIPMENT USA LLC
Entity Type:Organization
Organization Name:INTERNATIONAL MEDICAL EQUIPMENT USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUVAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-630-2468
Mailing Address - Street 1:501 GOLDEN ISLES DR STE 204F
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 GOLDEN ISLES DR STE 204F
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4729
Practice Address - Country:US
Practice Address - Phone:347-630-2468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies