Provider Demographics
NPI:1730445479
Name:MED EQUIP DME LLC
Entity type:Organization
Organization Name:MED EQUIP DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-493-8900
Mailing Address - Street 1:6600 NW 16TH ST
Mailing Address - Street 2:SUITE #5
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4554
Mailing Address - Country:US
Mailing Address - Phone:954-493-8900
Mailing Address - Fax:954-493-8300
Practice Address - Street 1:6600 NW 16TH ST
Practice Address - Street 2:SUITE #5
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-4554
Practice Address - Country:US
Practice Address - Phone:954-493-8900
Practice Address - Fax:954-493-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL12000046371332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies