Provider Demographics
NPI:1902945546
Name:ZOE MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:ZOE MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NERISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-3380
Mailing Address - Street 1:9695 NW 79TH AVE
Mailing Address - Street 2:BAY #3
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2508
Mailing Address - Country:US
Mailing Address - Phone:305-362-3380
Mailing Address - Fax:305-362-3381
Practice Address - Street 1:9695 NW 79TH AVE
Practice Address - Street 2:BAY #3
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2508
Practice Address - Country:US
Practice Address - Phone:305-362-3380
Practice Address - Fax:305-362-3381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING #332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6005670001Medicare NSC