| Organization Name: | PROMEDICS INC |
| NPI Number: | 1295748853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SURAHYMI SERRA (PRESIDENT) |
| Mailing Address: | 6555 Nw 36th St Ste 215 Virginia Gardens |
| State: | FL US |
| Postal Code: | 331666978 |
| Phone Number: | 3058700284 |
| Fax Number: | 3058700284 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 1313081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |