Organization
NOVA MEDICAL EQUIPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TIDD (AUTHORIZED OFFICIAL)
(512) 320-5400
Entity
Organization
Contact information
Practice address
12319 SW 132ND CT, MIAMI, FL 33186-6477
(305) 253-6470
(305) 253-6469
Mailing address
12319 SW 132ND CT, MIAMI, FL 33186-6477
(305) 253-6470
(305) 253-6469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5373370001
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
1312483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9695
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/17/2006
Last updated
06/11/2019
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