Provider Demographics
NPI:1952342271
Name:DURAMED INC
Entity Type:Organization
Organization Name:DURAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-499-0114
Mailing Address - Street 1:12251 TAFT ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1956
Mailing Address - Country:US
Mailing Address - Phone:954-499-0114
Mailing Address - Fax:954-499-0115
Practice Address - Street 1:12251 TAFT ST
Practice Address - Street 2:SUITE 400
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-1956
Practice Address - Country:US
Practice Address - Phone:954-499-0114
Practice Address - Fax:954-499-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4591860001Medicare ID - Type Unspecified