Healthcare Provider Details
I. General information
NPI: 1801471180
Provider Name (Legal Business Name): NEWPHARMA DME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2021
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6355 NW 36TH ST
VIRGINIA GARDENS FL
33166-7009
US
IV. Provider business mailing address
6711 N WATERWAY DR
MIAMI FL
33155-3854
US
V. Phone/Fax
- Phone: 305-546-8500
- Fax:
- Phone: 786-536-2932
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERTO FELIPE
PARDO GONZALEZ
Title or Position: OWNER
Credential:
Phone: 786-536-2932