Provider Demographics
NPI:1164475646
Name:MULTIMED ACCESS INC
Entity type:Organization
Organization Name:MULTIMED ACCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRECHET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-864-8728
Mailing Address - Street 1:1440 79TH STREET CSWY
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4130
Mailing Address - Country:US
Mailing Address - Phone:305-864-8728
Mailing Address - Fax:
Practice Address - Street 1:1440 79TH STREET CSWY
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4130
Practice Address - Country:US
Practice Address - Phone:305-864-8728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5659170001Medicare NSC