MEDICARE: III ISAIAS INSURANCE 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		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	423450	OTHER	FL	MEDICAL EQUIPMENT AND SUPPLIES MERCHANT

General Provider Information

NPI Number	:	1619405560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	III ISAIAS INSURANCE INC

Provider Business Mailing Address
First Line	:	10 FAIRWAY DR STE 219
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1802
Country	:	US
Telephone Number	:	561-674-5740
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 FAIRWAY DR STE 219
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1802
Country	:	US
Telephone Number	:	561-674-5740
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RENATO ISAIAS
Credential	:
Telephone Number	:	561-674-5740

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	09/11/2025

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