MEDICARE: 3M RENTAL MEDICAL EQUIPMENT

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)	291	FL

General Provider Information

NPI Number	:	1104812031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3M RENTAL MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	3202 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4102
Country	:	US
Telephone Number	:	305-541-7776
Fax Number	:	305-541-7757

Provider Business Practice Location Address
First Line	:	3202 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4102
Country	:	US
Telephone Number	:	305-541-7776
Fax Number	:	305-541-7757

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. FRANK E ELISSALT
Credential	:
Telephone Number	:	305-541-7776

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	08/22/2020

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