Healthcare Provider Details
I. General information
NPI: 1588600373
Provider Name (Legal Business Name): BEST DME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2006
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2502 NW 7TH ST
MIAMI FL
33125-3137
US
IV. Provider business mailing address
2502 NW 7TH ST
MIAMI FL
33125-3137
US
V. Phone/Fax
- Phone: 305-631-1140
- Fax: 305-631-1142
- Phone: 305-631-1140
- Fax: 305-631-1142
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 1313039 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 3204704 |
| License Number State | FL |
VIII. Authorized Official
Name:
NIDIA
DOMINGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-631-1140