MEDICARE: MIAMI INTERNATIONAL MEDICAL EQUIPMENT INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1083762538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI INTERNATIONAL MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	777 NW 72ND AVE
Second Line	:	SUITE 3146
City	:	MIAMI
State	:	FL
Zip	:	33126-3009
Country	:	US
Telephone Number	:	305-263-9030
Fax Number	:	305-623-9031

Provider Business Practice Location Address
First Line	:	777 NW 72ND AVE
Second Line	:	SUITE 3146
City	:	MIAMI
State	:	FL
Zip	:	33126-3009
Country	:	US
Telephone Number	:	305-263-9030
Fax Number	:	305-623-9031

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CHRISTIE M ESPINOSA
Credential	:
Telephone Number	:	305-263-9030

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	11/14/2007

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