MEDICARE: DANIA'S MEDICAL EQUIPMENT CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	HME1495	FL

General Provider Information

NPI Number	:	1053368951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIA'S MEDICAL EQUIPMENT CORP

Provider Business Mailing Address
First Line	:	4315 NW 7TH ST
Second Line	:	SUITE 36
City	:	MIAMI
State	:	FL
Zip	:	33126-3587
Country	:	US
Telephone Number	:	305-461-3252
Fax Number	:	305-461-1252

Provider Business Practice Location Address
First Line	:	4315 NW 7TH ST
Second Line	:	SUITE 36
City	:	MIAMI
State	:	FL
Zip	:	33126-3587
Country	:	US
Telephone Number	:	305-461-3252
Fax Number	:	305-461-1252

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DANIA CARRILLO
Credential	:
Telephone Number	:	305-461-3252

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	11/27/2007

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