Provider Demographics
NPI:1154897122
Name:IMPERIAL DME, INC.
Entity type:Organization
Organization Name:IMPERIAL DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-558-5465
Mailing Address - Street 1:220 71ST ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-7219
Mailing Address - Country:US
Mailing Address - Phone:786-558-5465
Mailing Address - Fax:786-558-5619
Practice Address - Street 1:220 71ST ST STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-7219
Practice Address - Country:US
Practice Address - Phone:786-558-5465
Practice Address - Fax:786-558-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies