MEDICARE: PEC 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1891750022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEC MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	2089 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1835
Country	:	US
Telephone Number	:	305-265-8401
Fax Number	:	305-265-8485

Provider Business Practice Location Address
First Line	:	2089 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1835
Country	:	US
Telephone Number	:	305-265-8401
Fax Number	:	305-265-8485

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PABLO E CASTRO
Credential	:
Telephone Number	:	305-265-8401

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/22/2020

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