Healthcare Provider Details

I. General information

NPI: 1336175249
Provider Name (Legal Business Name): NMD CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 NE 19TH AVE. SUITE: 228
NORTH MIAMI BEACH FL
33162
US

IV. Provider business mailing address

16300 NE 19TH AVE SUITE: 228
NORTH MIAMI BEACH FL
33162-4883
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-5161
  • Fax:
Mailing address:
  • Phone: 305-940-5161
  • 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: MARCOS BARRERA
Title or Position: PRESIDENT
Credential:
Phone: 305-940-5161