# THE MEDICARE SHOPPE INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medicare Shoppe.com
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326045345
- **Authorized official:** MR. LUIS ANDRES FERNANDEZ CERTIFIED ORTHOTIST (PRESIDENT / PROGRAM DIRECTOR)
- **Authorized official phone:** (305) 693-3544

## Contact information

- **Practice address:** 3013 E 4TH AVE, HIALEAH, FL 33013-3210
- **Practice address phone:** (305) 693-3544
- **Practice address fax:** (305) 693-3519
- **Mailing address:** 3013 E 4TH AVE, HIALEAH, FL 33013-3210
- **Mailing address phone:** (305) 693-3544
- **Mailing address fax:** (305) 693-3519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1222810001 | FL | Yes |
| 333600000X | Pharmacy | PH16014 | FL | — |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 09/11/2025