MEDICARE: DAN 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	HME 1313076	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1313076	OTHER	FL	HME LICENSE
2	32:04718	OTHER	FL	OXYGEN LICENSE

General Provider Information

NPI Number	:	1770591133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAN MEDICAL EQUIPMENT & SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	17368 S DIXIE HWY
Second Line	:
City	:	VILLAGE OF PALMETTO BAY
State	:	FL
Zip	:	33157-4319
Country	:	US
Telephone Number	:	305-234-1844
Fax Number	:	305-234-1717

Provider Business Practice Location Address
First Line	:	17368 S DIXIE HWY
Second Line	:
City	:	VILLAGE OF PALMETTO BAY
State	:	FL
Zip	:	33157-4319
Country	:	US
Telephone Number	:	305-234-1844
Fax Number	:	305-234-1717

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANAYS PEREZ FERNANDEZ
Credential	:
Telephone Number	:	305-234-1844

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	08/22/2020

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