MEDICARE: BEAUVAIS MEDICAL EQUIPMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1588427694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUVAIS MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	3821 W HALLANDALE BEACH BLVD UNIT 1
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-4456
Country	:	US
Telephone Number	:	954-997-5842
Fax Number	:

Provider Business Practice Location Address
First Line	:	3821 W HALLANDALE BEACH BLVD UNIT 1
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-4456
Country	:	US
Telephone Number	:	954-997-5842
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	DR. WILDA B BEAUVAIS
Credential	:	DR
Telephone Number	:	954-997-5842

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	12/13/2024

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