MEDICARE: MED X 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1114931979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED X MEDICAL EQUIPMENT CORP

Provider Business Mailing Address
First Line	:	3468 W 84TH ST
Second Line	:	SUITE 109
City	:	HIALEAH
State	:	FL
Zip	:	33018-4927
Country	:	US
Telephone Number	:	305-512-1363
Fax Number	:	305-512-1364

Provider Business Practice Location Address
First Line	:	3468 W 84TH ST
Second Line	:	SUITE 109
City	:	HIALEAH
State	:	FL
Zip	:	33018-4927
Country	:	US
Telephone Number	:	305-512-1363
Fax Number	:	305-512-1364

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ANA N HITA
Credential	:
Telephone Number	:	305-512-1363

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/22/2020

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