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General NPI Number Information
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NPI Number | 1407584261
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Entity Type | Organization
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Legal Business Name | BROOKLYN MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 6415 LAKE WORTH RD STE 211
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City | GREENACRES
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State | FL
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Zip | 33463-2905
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Country | US
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Telephone | 561-532-4200
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Fax | 561-473-0814
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Provider Business Mailing Address
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Address Line | 6415 LAKE WORTH RD STE 211
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City | GREENACRES
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State | FL
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Zip | 33463-2905
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Country | US
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Telephone | 561-532-4200
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Fax | 561-473-0814
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | RAFAEL HIRALDO
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Credential |
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Telephone | 561-532-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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