MEDICOR HEALTHCHOICE INC NPI 1730189523

NPI Information

NPI: 1730189523
Provider Name: MEDICOR HEALTHCHOICE INC

Doing Business As: MEDICOR HEALTHCARE INC.

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
2200 NW 102 AVENUE SUITE 2B
DORAL, FL
ZIP 33172
Phone: (800) 250-4468
Get Directions

MEDICOR HEALTHCHOICE INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Doral, FL. MEDICOR HEALTHCHOICE INC NPI is 1730189523. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicor Healthcare Inc..

The provider's business location address is:

2200 NW 102 AVENUE SUITE 2B
DORAL, FL
ZIP 33172-225
Phone: (800) 250-4468
Fax: (888) 614-4949

The provider's authorized official is Jack A Marquez .
The authorized official title is Vice President and has the following contact phone number (800) 250-4468.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 3/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	HME051	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	682074300	MEDICAID	FLORIDA
2	951866500	MEDICAID	FLORIDA
3	PH26071	OTHER	FLORIDA	PHARMACY LICENSE
4	HME051	OTHER	FLORIDA	AHCA
5	PH26070	OTHER	FLORIDA	PHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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