Organization Name: | LOCATEL SUNNY ISLES LLC |
NPI Number: | 1093880064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DINO JOSE ANTONIONI (CEO/OWNER/PHARMACIST) |
Mailing Address: | 1951 Sw 172nd Ave Suite #107 Miramar |
State: | FL US |
Postal Code: | 33029 |
Phone Number: | 9543928000 |
Fax Number: | 9543928070 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PH21641 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |