Organization
MEDOQUIP CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA HERNANDEZ (PRESIDENT)
(954) 989-3456
Entity
Organization
Contact information
Practice address
902 A NORTH 30TH ROAD, HOLLYWOOD, FL 33021
(954) 989-3456
(954) 989-3327
Mailing address
902 A NORTH 30TH ROAD, HOLLYWOOD, FL 33021
(954) 989-3456
(954) 989-3327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022715300
—
FL
01
—
R9181
BLUE CROSS
FL
Enumeration date
11/15/2006
Last updated
03/28/2012
Update your record
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