Healthcare Provider Details

I. General information

NPI: 1164475646
Provider Name (Legal Business Name): MULTIMED ACCESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 79TH STREET CSWY
NORTH BAY VILLAGE FL
33141-4130
US

IV. Provider business mailing address

1440 79TH STREET CSWY SUITE 1400
NORTH BAY VILLAGE FL
33141-4130
US

V. Phone/Fax

Practice location:
  • Phone: 305-864-8728
  • Fax:
Mailing address:
  • Phone: 305-864-8728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CONSUELO CORRECHET
Title or Position: VICE PRESIDENT
Credential:
Phone: 305-864-8728