Healthcare Provider Details

I. General information

NPI: 1104370576
Provider Name (Legal Business Name): SINAICARE DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 08/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 NW 12TH AVE
MIAMI FL
33128-1020
US

IV. Provider business mailing address

441 NW 12TH AVE
MIAMI FL
33128-1020
US

V. Phone/Fax

Practice location:
  • Phone: 305-867-1228
  • Fax: 855-552-3776
Mailing address:
  • Phone: 305-867-1228
  • Fax: 855-552-3776

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: JACOB GITMAN
Title or Position: MANAGER
Credential:
Phone: 305-867-1228