MEDICARE: DANIA MEDICAL EQUIPMENT & SUPPLIES 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

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

General Provider Information

NPI Number	:	1508845140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIA MEDICAL EQUIPMENT & SUPPLIES INC.

Provider Business Mailing Address
First Line	:	354 E DANIA BEACH BLVD
Second Line	:
City	:	DANIA BEACH
State	:	FL
Zip	:	33004-3020
Country	:	US
Telephone Number	:	954-926-6410
Fax Number	:	954-926-6448

Provider Business Practice Location Address
First Line	:	354 E DANIA BEACH BLVD
Second Line	:
City	:	DANIA
State	:	FL
Zip	:	33004-3020
Country	:	US
Telephone Number	:	954-926-6410
Fax Number	:	954-926-6448

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALLA AMINOV
Credential	:
Telephone Number	:	954-926-6410

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/21/2022

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