Healthcare Provider Details

I. General information

NPI: 1649223298
Provider Name (Legal Business Name): MULTI - MED EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7176 SW 47TH ST SUITE#9
MIAMI FL
33155-4655
US

IV. Provider business mailing address

7176 SW 47TH ST SUITE#9
MIAMI FL
33155-4655
US

V. Phone/Fax

Practice location:
  • Phone: 305-668-9354
  • Fax: 305-668-9354
Mailing address:
  • Phone: 305-668-9354
  • Fax: 305-668-9354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1312448
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DEISY G HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-668-9354