Healthcare Provider Details

I. General information

NPI: 1477587442
Provider Name (Legal Business Name): FEM MEDICAL EQUIPMENT CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 NW SOUTH RIVER DR
MEDLEY FL
33166-7420
US

IV. Provider business mailing address

8280 NW SOUTH RIVER DR
MEDLEY FL
33166-7420
US

V. Phone/Fax

Practice location:
  • Phone: 305-882-0647
  • Fax: 305-882-0648
Mailing address:
  • Phone: 305-882-0647
  • Fax: 305-882-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1312701
License Number StateFL

VIII. Authorized Official

Name: MR. ROBERTO AGUILAR
Title or Position: PRESIDENT
Credential:
Phone: 305-882-0647