MEDICARE: QUALIFIED MEDICAL EQUIPMENT, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	32:04602	FL

General Provider Information

NPI Number	:	1609962398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALIFIED MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1892 ABBEY RD STE J
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5688
Country	:	US
Telephone Number	:	561-357-9573
Fax Number	:

Provider Business Practice Location Address
First Line	:	1892 ABBEY RD STE J
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5688
Country	:	US
Telephone Number	:	561-357-9573
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ENRIQUE MARTA
Credential	:
Telephone Number	:	561-357-9573

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	08/22/2020

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