Organization
PREFERED MEDICAL EQUIPMENT SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES RODRIGUEZ (PRESIDENT/OWNER)
(954) 321-3555
Entity
Organization
Contact information
Practice address
3675 DAVIE BLVD, FT LAUDERDALE, FL 33312-3439
(954) 321-3555
(954) 321-5477
Mailing address
3675 DAVIE BLVD, FT LAUDERDALE, FL 33312-3439
(954) 321-3555
(954) 321-5477
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AHCA HME LIC #316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2573
BCBS OUT OF NETWORK
—
Enumeration date
08/16/2005
Last updated
08/22/2020
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