Healthcare Provider Details
I. General information
NPI: 1700824281
Provider Name (Legal Business Name): LER MEDICAL EQUIPMENT,INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6555 NW 36TH ST SUITE 316
VIRGINIA GARDENS FL
33166-6978
US
IV. Provider business mailing address
6555 NW 36TH ST SUITE 316
VIRGINIA GARDENS FL
33166-6978
US
V. Phone/Fax
- Phone: 305-870-0580
- Fax: 305-870-0550
- Phone: 305-870-0580
- Fax: 305-870-0550
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 | |
VIII. Authorized Official
Name: MR.
EDUARDO
J
PAROLIS
Title or Position: PRESIDENT
Credential:
Phone: 305-870-0580