Provider Demographics
NPI:1063538858
Name:COLONIAL MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:COLONIAL MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-508-8838
Mailing Address - Street 1:175 FOUNTAINBLEAU BLVD
Mailing Address - Street 2:SUITE 1P3
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7018
Mailing Address - Country:US
Mailing Address - Phone:305-559-3992
Mailing Address - Fax:305-559-3993
Practice Address - Street 1:175 FOUNTAINBLEAU BLVD
Practice Address - Street 2:SUITE 1P3
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7018
Practice Address - Country:US
Practice Address - Phone:305-559-3992
Practice Address - Fax:305-559-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5924540002Medicare NSC