MEDICARE: INJEX PHARMA USA 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	:	1396011185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INJEX PHARMA USA LLC

Provider Business Mailing Address
First Line	:	1922 NE 119 RD
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33181
Country	:	US
Telephone Number	:	786-512-1963
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 NE 119 RD
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33181
Country	:	US
Telephone Number	:	786-512-1963
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SYLWIN GRINMAN
Credential	:
Telephone Number	:	786-512-1963

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	06/20/2012

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