Healthcare Provider Details
I. General information
NPI: 1528026127
Provider Name (Legal Business Name): BEST BARE MEDICAL SUPPLY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6365 TAFT ST SUITE #3000
HOLLYWOOD FL
33024-5952
US
IV. Provider business mailing address
6365 TAFT ST SUITE #3000
HOLLYWOOD FL
33024-5952
US
V. Phone/Fax
- Phone: 305-219-8312
- Fax: 954-987-1355
- Phone: 305-219-8312
- Fax: 954-987-1355
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ORESTES
RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-226-1391