MEDICARE: PRMIER MEDICAL PRODUCTS OF FLORIDA

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	:	1780635391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRMIER MEDICAL PRODUCTS OF FLORIDA

Provider Business Mailing Address
First Line	:	5741 PEMBROKE RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2337
Country	:	US
Telephone Number	:	954-989-2388
Fax Number	:	954-989-2387

Provider Business Practice Location Address
First Line	:	5741 PEMBROKE RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2337
Country	:	US
Telephone Number	:	954-989-2388
Fax Number	:	954-989-2387

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GERARDO AUGUSTIN ARIAS
Credential	:
Telephone Number	:	954-989-2388

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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