Provider Demographics
NPI:1194945998
Name:JULMA EQUIPMENT & SUPPLY CORP
Entity type:Organization
Organization Name:JULMA EQUIPMENT & SUPPLY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:LLANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-826-4233
Mailing Address - Street 1:2500 W 78TH ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2700
Mailing Address - Country:US
Mailing Address - Phone:305-826-4233
Mailing Address - Fax:305-826-4283
Practice Address - Street 1:2500 W 78TH ST UNIT 4
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2700
Practice Address - Country:US
Practice Address - Phone:305-826-4233
Practice Address - Fax:305-826-4283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0977370001Medicare ID - Type Unspecified