Healthcare Provider Details
I. General information
NPI: 1316862808
Provider Name (Legal Business Name): PRIMETRUST MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13737 SW 152 ST #978
MIAMI FL
33177
US
IV. Provider business mailing address
18133 SW 148TH AVE RD
MIAMI FL
33187-1882
US
V. Phone/Fax
- Phone: 305-772-6885
- Fax:
- Phone: 305-772-6885
- Fax: 305-772-6885
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
UKO
AKPAN
Title or Position: PRESIDENT
Credential:
Phone: 305-772-6885