2ND PHOENIX INC (NPI# 1508301904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301904 |
| Entity Type | Organization |
| Organization Name | 2ND PHOENIX INC |
| Other Organization Name | SB MEDICAL |
| Practice Address |
7420 W 18th Ln Hialeah FL 33014-3717 |
| Practice Telephone | 3056004421 |
| Practice Fax Number | 7864751414 |
| Mailing Telephone | 3056004421 |
| Mailing Fax Number | 7864751414 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MR. SERGIO BECERRA SR. (CEO) |
| Authorized Official Telephone | 3056004421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 7178621 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| SB Medical | Doing Business As Name - Organization |
| Street Address |
7420 W 18TH LN |
| City | HIALEAH |
| State | FL |
| Zip Code | 33014-3717 |
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|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839851 | Aromas By Imas Enterprise Corp | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 402, Hialeah, FL 33016-5504 | 2020-10-23 |
| 1326647033 | Ccy Services Corp | Durable Medical Equipment & Medical Supplies | 2300 W 84th St Ste 206, Hialeah, FL 33016-5772 | 2020-10-22 |
| 1841804119 | Times Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 455 W 23rd St Unit 8, Hialeah, FL 33010-1415 | 2020-09-03 |
| 1659993277 | Best Way Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 2300 W 84th St Ste 311, Hialeah, FL 33016-5773 | 2020-05-18 |
| 1215558861 | Lb Hooper Supports & Supplies LLC | Durable Medical Equipment & Medical Supplies | 1490 W 49th Pl Ste 503b, Hialeah, FL 33012-3191 | 2020-05-05 |
| 1154958650 | Dima Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 330 W 9th St Ste 4, Hialeah, FL 33010-3865 | 2020-03-25 |
| 1760017156 | Gba Services Inc | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 212, Hialeah, FL 33016-5503 | 2020-03-06 |
| 1891327839 | Healing Services Inc | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 204, Hialeah, FL 33016-5503 | 2020-02-07 |
| 1386280824 | New Star Services, Inc. | Durable Medical Equipment & Medical Supplies | 2100 W 76th St Ste 213, Hialeah, FL 33016-5503 | 2019-11-19 |
| 1144874793 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 802 E 25th St, Hialeah, FL 33013-3402 | 2019-07-31 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.