MEDICARE: CENTRAL GARDEN CORP.

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	:	1912033564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL GARDEN CORP.

Provider Business Mailing Address
First Line	:	11601 BISCAYNE BLVD
Second Line	:	SUITE 200
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-3151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11601 BISCAYNE BLVD
Second Line	:	SUITE 200
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-3151
Country	:	US
Telephone Number	:	305-893-0900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAIMY CORO
Credential	:
Telephone Number	:	305-893-0900

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/22/2020

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