2ND Phoenix Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Hialeah, FL
NPI 1508301904 · NPPES record last updated Dec 21, 2016
Key facts
- NPI
- 1508301904
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 7178621 (FL)
- Legal business name
- 2ND PHOENIX INC
- Practice address
- 7420 W 18TH LN
Hialeah, FL 33014-3717 - Phone
- (305) 600-4421
- Fax
- (786) 475-1414
- NPI assigned
- Dec 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Sergio Becerra Sr.
- Title
- Ceo
- Phone
- (305) 600-4421
National Provider Directory
Locations
7420 W 18th Ln
Hialeah, FL 33014
Phone (305) 600-4421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 7178621 | FL | Yes |
Addresses
Primary practice location
7420 W 18TH LN
Hialeah, FL 33014-3717
Mailing address
7420 W 18TH LN
Hialeah, FL 33014-3717
Phone (305) 600-4421
Other names
- SB Medical
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All providers in Hialeah, FL · Durable Medical Equipment & Medical Supplies in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.