Provider Demographics
NPI:1528066628
Name:NATIONAL MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:NATIONAL MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVENTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-688-9991
Mailing Address - Street 1:12605 NW 115 AVE
Mailing Address - Street 2:B-102
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3191
Mailing Address - Country:US
Mailing Address - Phone:305-688-9991
Mailing Address - Fax:305-687-4529
Practice Address - Street 1:12605 NW 115 AVE
Practice Address - Street 2:B-102
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33178-3191
Practice Address - Country:US
Practice Address - Phone:305-688-9991
Practice Address - Fax:305-687-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6644332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027172100Medicaid
FL0335140001Medicare NSC
FL0335140001Medicare ID - Type Unspecified