Healthcare Provider Details

I. General information

NPI: 1780635391
Provider Name (Legal Business Name): PRMIER MEDICAL PRODUCTS OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 PEMBROKE RD
HOLLYWOOD FL
33023-2337
US

IV. Provider business mailing address

5741 PEMBROKE RD
HOLLYWOOD FL
33023-2337
US

V. Phone/Fax

Practice location:
  • Phone: 954-989-2388
  • Fax: 954-989-2387
Mailing address:
  • Phone: 954-989-2388
  • Fax: 954-989-2387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. GERARDO AUGUSTIN ARIAS
Title or Position: PRESIDENT
Credential:
Phone: 954-989-2388