Healthcare Provider Details

I. General information

NPI: 1285748095
Provider Name (Legal Business Name): HEALTH MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 W HALLANDALE BEACH BLVD #102
HALLANDALE FL
33009-5148
US

IV. Provider business mailing address

3109 W HALLANDALE BEACH BLVD #102
HALLANDALE FL
33009-5148
US

V. Phone/Fax

Practice location:
  • Phone: 954-964-5971
  • Fax: 954-893-7967
Mailing address:
  • Phone: 954-964-5971
  • Fax: 954-893-7967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1737
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number1737
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3202900
License Number StateFL

VIII. Authorized Official

Name: ALAIN HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 954-964-5971