MEDICARE: ROSEL HOME EQUIPMENT CARE 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
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	1314179	FL
3	332BX2000X	Oxygen Equipment & Supplies (DME)	1314179	FL
4	332B00000X	Durable Medical Equipment & Medical Supplies	1314179	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427027218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEL HOME EQUIPMENT CARE INC

Provider Business Mailing Address
First Line	:	6830 NW 77TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33166-2713
Country	:	US
Telephone Number	:	305-883-5033
Fax Number	:	305-883-8909

Provider Business Practice Location Address
First Line	:	6830 NW 77TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33166-2713
Country	:	US
Telephone Number	:	305-883-5033
Fax Number	:	305-883-8909

Authorized Official
Title or Position	:	OWNER
Name	:	MAITE GARCIA
Credential	:
Telephone Number	:	305-883-5033

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	11/18/2019

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Directions to “ROSEL HOME EQUIPMENT CARE INC ” Practice Location

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