OrganizationFlorida Professional Dme CoDurable Medical Equipment & Medical SuppliesSuppliersPractice Address10454 NW 31st Ter, Doral, FL 33172-1200(305) 461-0610PECOS EnrollmentBased on the most recent information from CMS, provider Florida Professional Dme Co does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417006651Provider TypeOrganizationFull NameFlorida Professional Dme CoSubpartNoEnumeration Date1/9/2007Last Updated6/20/2018Contact InformationPractice LocationPractice Address10454 NW 31st Ter, Doral, FL 33172-1200Phone(305) 461-0610Fax(305) 461-4905Mailing LocationMailing Address10454 NW 31st Ter, Doral, FL 33172-1200Phone(305) 461-0610Fax(305) 461-4905Authorized OfficialNameBetancourt, Sergio A (Vice-President)Phone(305) 461-0610Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseHME 260FloridaProvider IdentifiersIDDescriptionIssuerIDR8410DescriptionOtherIssuerBCBS PROV NUMBERFlorida