Healthcare Provider Details

I. General information

NPI: 1427176197
Provider Name (Legal Business Name): FLORIDA HOME MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 03/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14101 COMMERCE WAY
MIAMI LAKES FL
33016-1513
US

IV. Provider business mailing address

3700 COMMERCE PKWY
MIRAMAR FL
33025-3912
US

V. Phone/Fax

Practice location:
  • Phone: 954-874-0250
  • Fax: 888-914-2202
Mailing address:
  • Phone: 954-874-0250
  • Fax: 888-914-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1704
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number322851
License Number StateFL

VIII. Authorized Official

Name: MR. JEFFREY J SJOBECK
Title or Position: VP & TREASURER
Credential:
Phone: 952-516-6289