Provider Demographics
NPI:1457382921
Name:FLORIDIAN MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:FLORIDIAN MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-389-3084
Mailing Address - Street 1:6801 NW 77TH AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-2851
Mailing Address - Country:US
Mailing Address - Phone:305-888-1136
Mailing Address - Fax:305-888-1137
Practice Address - Street 1:6801 NW 77TH AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-2851
Practice Address - Country:US
Practice Address - Phone:305-888-1136
Practice Address - Fax:305-888-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGMedicare ID - Type UnspecifiedPENDING PROVIDER NUMBER