Provider Demographics
NPI:1679602320
Name:CONDOR MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:CONDOR MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AYMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-1311
Mailing Address - Street 1:7093 SW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4652
Mailing Address - Country:US
Mailing Address - Phone:305-661-1311
Mailing Address - Fax:
Practice Address - Street 1:7093 SW 47TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4652
Practice Address - Country:US
Practice Address - Phone:305-661-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1561332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4206270001Medicare ID - Type Unspecified