Healthcare Provider Details

I. General information

NPI: 1306837539
Provider Name (Legal Business Name): ALFA - DELTA PROFESSIONAL AND HOME MEDICAL SUPPLY CO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2005
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3526 W FLAGLER ST
MIAMI FL
33135-1028
US

IV. Provider business mailing address

3526 W FLAGLER ST
MIAMI FL
33135-1028
US

V. Phone/Fax

Practice location:
  • Phone: 305-444-3398
  • Fax: 305-444-3396
Mailing address:
  • Phone: 305-444-3398
  • Fax: 305-444-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2222
License Number StateFL

VIII. Authorized Official

Name: HELGA Y GELBART
Title or Position: SECRETARY
Credential:
Phone: 305-444-3398