MEDICARE: FLORIDA HOME 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	332B00000X	Durable Medical Equipment & Medical Supplies	1313160	FL
2	332BX2000X	Oxygen Equipment & Supplies (DME)	326448	FL

General Provider Information

NPI Number	:	1801088273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HOME MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	3700 COMMERCE PKWY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3912
Country	:	US
Telephone Number	:	954-874-0250
Fax Number	:	954-874-2117

Provider Business Practice Location Address
First Line	:	6100 HANGING MOSS RD
Second Line	:	SUITE 540
City	:	ORLANDO
State	:	FL
Zip	:	32807-3790
Country	:	US
Telephone Number	:	407-678-0311
Fax Number	:	407-678-6411

Authorized Official
Title or Position	:	CEO
Name	:	MR. RENE VALVERDE
Credential	:
Telephone Number	:	954-874-0250

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	01/12/2010

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