Healthcare Provider Details

I. General information

NPI: 1821134073
Provider Name (Legal Business Name): SOUTH RIVER MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8232 NW SOUTH RIVER DR
MEDLEY FL
33166-7452
US

IV. Provider business mailing address

8232 NW SOUTH RIVER DR
MEDLEY FL
33166-7452
US

V. Phone/Fax

Practice location:
  • Phone: 305-863-3755
  • Fax: 305-863-3756
Mailing address:
  • Phone: 305-863-3755
  • Fax: 305-863-3756

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: ORELVIS FIGUEROA
Title or Position: PRESIDENT
Credential:
Phone: 305-863-3755