MEDICARE: YAKO 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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	1313114	FL

General Provider Information

NPI Number	:	1811009327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAKO MEDICAL EQUIPMENT & SUPPLIES INC

Provider Business Mailing Address
First Line	:	5584 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3215
Country	:	US
Telephone Number	:	305-263-3547
Fax Number	:	305-263-3548

Provider Business Practice Location Address
First Line	:	5584 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3215
Country	:	US
Telephone Number	:	305-263-3547
Fax Number	:	305-263-3548

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELIETTE RODRIGUEZ
Credential	:
Telephone Number	:	305-263-3547

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/19/2008

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