SE Professional Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SE PROFESSIONAL INC

Practice address

25 SE 2ND Ave
Suite 502
Miami, FL 33131-1506

Phone

(786) 235-0330

Fax

(786) 235-0331

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lazaro R Fernandez

Title

President

Phone

(786) 235-0330

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508931387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE",
            "address_2": "SUITE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311506",
            "telephone_number": "786-235-0330",
            "fax_number": "786-235-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SE 2ND AVE",
            "address_2": "SUITE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331311506",
            "telephone_number": "786-235-0330",
            "fax_number": "786-235-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE PROFESSIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-235-0330"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scripted Ventures LLC
• Richard Scudieri, PHARM D., RPH
• Edward S Sczechowicz Jr., PH.D.
• SD Glow and Health LLC
• SD Opco LLC
• Brittany Sealy
• Seamless Behavioral Services Inc
• Search for Life Hope Inc
• Searose Medical Service, Inc
• Seasons Gardens Senior Residence LLC

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.