MEDICARE: SINAICARE DME LLC

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	:	1104370576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINAICARE DME LLC

Provider Business Mailing Address
First Line	:	441 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33128-1020
Country	:	US
Telephone Number	:	305-867-1228
Fax Number	:	855-552-3776

Provider Business Practice Location Address
First Line	:	441 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33128-1020
Country	:	US
Telephone Number	:	305-867-1228
Fax Number	:	855-552-3776

Authorized Official
Title or Position	:	MANAGER
Name	:	JACOB GITMAN
Credential	:
Telephone Number	:	305-867-1228

Provider Enumeration Date	:	08/15/2016
Last Update Date	:	08/15/2016

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Directions to “SINAICARE DME LLC ” Practice Location

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