Provider Demographics
NPI:1124065065
Name:DK & J MEDICAL EQUIPMENT, CORP
Entity type:Organization
Organization Name:DK & J MEDICAL EQUIPMENT, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DAYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-262-3058
Mailing Address - Street 1:6612 W 22ND LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3964
Mailing Address - Country:US
Mailing Address - Phone:786-262-3058
Mailing Address - Fax:305-477-8884
Practice Address - Street 1:7275 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1908
Practice Address - Country:US
Practice Address - Phone:305-477-8883
Practice Address - Fax:305-477-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5669560001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5669560001Medicare NSC