MEDICARE: PLATINUM MEDICAL EQUIPMENT

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	:	1457384877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATINUM MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	1803 NE 164TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4109
Country	:	US
Telephone Number	:	305-945-3511
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 NE 164TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4109
Country	:	US
Telephone Number	:	305-945-3511
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NARDO PEREZ
Credential	:
Telephone Number	:	305-945-3511

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/21/2022

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