Healthcare Provider Details

I. General information

NPI: 1871828269
Provider Name (Legal Business Name): FLORIDA HOME MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2009
Last Update Date: 10/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 TALL PINES RD
WEST PALM BEACH FL
33413-1744
US

IV. Provider business mailing address

3700 COMMERCE PARKWAY
MIRAMAR FL
33025-3912
US

V. Phone/Fax

Practice location:
  • Phone: 561-615-4209
  • Fax: 561-615-4289
Mailing address:
  • Phone: 954-874-0250
  • Fax: 954-874-4124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1313131
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number324757
License Number StateFL

VIII. Authorized Official

Name: MR. RENE J VALVERDE
Title or Position: CEO
Credential:
Phone: 954-874-0250