MEDICARE: ZOE MEDICAL SUPPLIES, 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	PENDING #	FL

General Provider Information

NPI Number	:	1902945546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOE MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	9695 NW 79TH AVE
Second Line	:	BAY #3
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2508
Country	:	US
Telephone Number	:	305-362-3380
Fax Number	:	305-362-3381

Provider Business Practice Location Address
First Line	:	9695 NW 79TH AVE
Second Line	:	BAY #3
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2508
Country	:	US
Telephone Number	:	305-362-3380
Fax Number	:	305-362-3381

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NERISSA VERGES
Credential	:
Telephone Number	:	305-362-3380

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	02/14/2008

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