Healthcare Provider Details

I. General information

NPI: 1437361300
Provider Name (Legal Business Name): UNITED TRADE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16772 NE 5TH AVE UNITED TRADE INC
NORTH MIAMI BEACH FL
33162-3928
US

IV. Provider business mailing address

16772 NE 5TH AVE UNITED TRADE INC
NORTH MIAMI BEACH FL
33162-3928
US

V. Phone/Fax

Practice location:
  • Phone: 954-552-1668
  • Fax: 786-955-6889
Mailing address:
  • Phone: 954-552-1668
  • Fax: 786-955-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number35325
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number228208
License Number StateFL

VIII. Authorized Official

Name: IRVELINE P POITEVIEN
Title or Position: VP
Credential:
Phone: 786-955-6881