Healthcare Provider Details
I. General information
NPI: 1851327712
Provider Name (Legal Business Name): IZZ AND SONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2006
Last Update Date: 04/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
590 W FLAGLER ST
MIAMI FL
33130-1326
US
IV. Provider business mailing address
590 W FLAGLER ST
MIAMI FL
33130-1326
US
V. Phone/Fax
- Phone: 305-545-0533
- Fax: 305-545-5071
- Phone: 305-545-0533
- Fax: 305-545-5071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH15895 |
| License Number State | FL |
VIII. Authorized Official
Name:
AIMAN
ARYAN
Title or Position: COO
Credential:
Phone: 305-545-0533