Provider Demographics
NPI: | 1871639864 |
---|---|
Name: | V & R MEDICAL EQUIPMENT, CORP |
Entity type: | Organization |
Organization Name: | V & R MEDICAL EQUIPMENT, CORP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | VICTOR |
Authorized Official - Middle Name: | MANUEL |
Authorized Official - Last Name: | RON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 786-306-6421 |
Mailing Address - Street 1: | 11117 W OKEECHOBEE RD |
Mailing Address - Street 2: | SUITE 215 |
Mailing Address - City: | HIALEAH GARDENS |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33018-4212 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-306-6421 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 11117 W OKEECHOBEE RD |
Practice Address - Street 2: | SUITE 215 |
Practice Address - City: | HIALEAH GARDENS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33018-4212 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-306-6421 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-29 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 332B00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |