Healthcare Provider Details

I. General information

NPI: 1285660563
Provider Name (Legal Business Name): CA & CA MEDICAL EQUIPMENT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 NW 93RD AVE SUITE 106 B
DORAL FL
33172-4800
US

IV. Provider business mailing address

2441 NW 93RD AVE SUITE 106 B
DORAL FL
33172-4800
US

V. Phone/Fax

Practice location:
  • Phone: 305-436-8144
  • Fax: 305-436-8145
Mailing address:
  • Phone: 305-436-8144
  • Fax: 305-436-8145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: OMAR CARDENAS
Title or Position: PRESIDENT
Credential:
Phone: 305-436-8144