MEDICARE: HIGHLAND COMMERCIAL CENTER 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

General Provider Information

NPI Number	:	1629753397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND COMMERCIAL CENTER INC

Provider Business Mailing Address
First Line	:	2787 E OAKLAND PARK BLVD STE 307
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33306-1632
Country	:	US
Telephone Number	:	954-766-4653
Fax Number	:

Provider Business Practice Location Address
First Line	:	2787 E. PARKLAND PARK BLVD
Second Line	:	STE 307
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33306-1628
Country	:	US
Telephone Number	:	954-766-4653
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	INAURY FLEITES MESA
Credential	:
Telephone Number	:	954-766-4653

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	08/22/2023

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