Organization
MEDICAL DECISION LLC
Active
Other names
MEDICAL DECISION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR E IZQUIERDO JR. (CEO)
(954) 772-1631
Entity
Organization
Contact information
Practice address
2890 W STATE ROAD 84, SUITE #102, FORT LAUDERDALE, FL 33312-4828
(954) 772-1631
(954) 772-1566
Mailing address
2890 W STATE ROAD 84, SUITE #102, FORT LAUDERDALE, FL 33312-4828
(954) 772-1631
(954) 772-1566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021631300
—
FL
05
—
021631379
—
FL
05
—
678001600
—
FL
05
—
679812896
—
FL
05
—
679812898
—
FL
Enumeration date
03/19/2007
Last updated
02/21/2012
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