SUPREME HEALTHCARE SUPPLY LLC NPI 1871901322

NPI Information

NPI: 1871901322
Provider Name: SUPREME HEALTHCARE SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1035 NE 125TH ST
301
NORTH MIAMI, FL
ZIP 33161
Phone: (305) 859-3350
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SUPREME HEALTHCARE SUPPLY LLC is a customized equipment durable medical equipment medical supplies in North Miami, FL. SUPREME HEALTHCARE SUPPLY LLC NPI is 1871901322. The provider is registered as an organization entity type.

The provider's business location address is:

1035 NE 125TH ST
301
NORTH MIAMI, FL
ZIP 33161-820
Phone: (305) 859-3350
Fax: (305) 928-2535

The provider's authorized official is Ivan E Ruiz-otero .
The authorized official title is Owner and has the following contact phone number (305) 859-3350.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 9/13/2016.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	PED218	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	7544650001	OTHER	FLORIDA	MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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