PRO MEDICAL EAST LLC NPI 1952575953

NPI Information

NPI: 1952575953
Provider Name: PRO MEDICAL EAST LLC

Other Name: PROFESSIONAL MEDICAL ENTERPRISES LLC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6555 POWERLINE RD
SUITE 101
FORT LAUDERDALE, FL
ZIP 33309
Phone: (954) 677-1011
Get Directions

PRO MEDICAL EAST LLC is a durable medical equipment medical supplies in Fort Lauderdale, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PRO MEDICAL EAST LLC NPI is 1952575953. The provider is registered as an organization entity type.
The provider Other Name Is Professional Medical Enterprises Llc.

The provider's business location address is:

6555 POWERLINE RD
SUITE 101
FORT LAUDERDALE, FL
ZIP 33309-067
Phone: (954) 677-1011
Fax: (954) 677-0922

The provider's authorized official is John Francis Dimarco .
The authorized official title is Managing Partner and has the following contact phone number (610) 525-3162.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 1/27/2011.

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	332B00000X	Durable Medical Equipment & Medical Supplies		6000006633	PENNSYLVANIA	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	4582539	MEDICAID	TENNESSEE
2	4344350	MEDICAID	MICHIGAN
3	540H104220	OTHER	MICHIGAN	MICHIGAN BC/BS
4	408730500	MEDICAID	MARYLAND
5	200068890A	MEDICAID	OKLAHOMA
6	=========001	MEDICAID	ILLINOIS
7	=========A	OTHER	NEW JERSEY	HORIZON BC/BS
8	0005164000	OTHER		KEYSTONE EAST
9	82839600	MEDICAID	WISCONSIN
10	0018611300003	MEDICAID	PENNSYLVANIA
11	625683800	MEDICAID	MINNESOTA
12	0005164000	OTHER		AMERIHEALTH
13	2272955	MEDICAID	OHIO
14	DM1174	MEDICAID	SOUTH CAROLINA
15	4245340002	MEDICARE NSC	FLORIDA
16	P2723785	OTHER		AETNA
17	000246014	OTHER		HIGHMARK BC/BS
18	8704805	MEDICAID	NEW JERSEY
19	90003799	MEDICAID	KENTUCKY
20	4245340001	MEDICARE NSC	PENNSYLVANIA

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: 11/14/2023

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