MEDICARE: GENERAL IPA 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	2380135733304	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2380135733304	OTHER		CERTIFICATE OF REGISTRATI

General Provider Information

NPI Number	:	1326089384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL IPA INC

Provider Business Mailing Address
First Line	:	3422 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4108
Country	:	US
Telephone Number	:	305-441-9221
Fax Number	:	305-441-9181

Provider Business Practice Location Address
First Line	:	3422 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4108
Country	:	US
Telephone Number	:	305-441-9221
Fax Number	:	305-441-9181

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ISCRA PADILLA
Credential	:
Telephone Number	:	305-441-9221

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	08/22/2020

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Directions to “GENERAL IPA INC ” Practice Location

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