Healthcare Provider Details
I. General information
NPI: 1942376132
Provider Name (Legal Business Name): EFEREN SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 NW 27TH AVE SUITE 321-B
MIAMI FL
33125-5127
US
IV. Provider business mailing address
42 NW 27TH AVE SUITE 321-B
MIAMI FL
33125-5127
US
V. Phone/Fax
- Phone: 786-517-6572
- Fax: 786-517-6573
- Phone: 786-517-6572
- Fax: 786-517-6573
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:
ERNESTO
FERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-517-6572