Healthcare Provider Details

I. General information

NPI: 1487988168
Provider Name (Legal Business Name): FLORIDA HOME MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4331 VERONICA S SHOEMAKER BLVD UNIT # 3
FORT MYERS FL
33916-2233
US

IV. Provider business mailing address

3700 COMMERCE PKWY
MIRAMAR FL
33025-3912
US

V. Phone/Fax

Practice location:
  • Phone: 239-337-9764
  • Fax: 239-337-9765
Mailing address:
  • Phone: 954-874-0250
  • Fax: 954-874-4124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1313346
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number326585
License Number StateFL

VIII. Authorized Official

Name: MR. RENE J VALVERDE
Title or Position: CEO
Credential:
Phone: 954-874-0250