Healthcare Provider Details

I. General information

NPI: 1790758936
Provider Name (Legal Business Name): DURA MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6780 SW 81ST TER
MIAMI FL
33143-7710
US

IV. Provider business mailing address

6780 SW 81ST TER
MIAMI FL
33143-7710
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-1202
  • Fax: 305-821-1297
Mailing address:
  • Phone: 305-821-1202
  • Fax: 305-821-1297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT MENDIA
Title or Position: PRESIDENT AND OWNER
Credential: CRT
Phone: 305-821-1202