Healthcare Provider Details

I. General information

NPI: 1912371238
Provider Name (Legal Business Name): BIOMEDICAL INTERNATIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2015
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4896 SW 74TH CT
MIAMI FL
33155-4454
US

IV. Provider business mailing address

4896 SW 74TH CT
MIAMI FL
33155-4454
US

V. Phone/Fax

Practice location:
  • Phone: 305-669-1010
  • Fax: 305-669-1011
Mailing address:
  • Phone: 305-669-1010
  • Fax: 305-669-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT BORGES
Title or Position: VP SALES & MARKETING
Credential:
Phone: 305-669-1010