MEDICARE: PMS 4 DOCS 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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1275831737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PMS 4 DOCS LLC

Provider Business Mailing Address
First Line	:	1234 S DIXIE HWY
Second Line	:	STE 324
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2902
Country	:	US
Telephone Number	:	305-662-4477
Fax Number	:	305-740-3390

Provider Business Practice Location Address
First Line	:	3692A GRAND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4953
Country	:	US
Telephone Number	:	305-662-4477
Fax Number	:	305-740-3390

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALFREDO MESA
Credential	:
Telephone Number	:	305-662-4477

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	03/08/2011

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Directions to “PMS 4 DOCS LLC ” Practice Location

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