OrganizationPark Plaza Supplies CorpDurable Medical Equipment & Medical SuppliesSuppliersPractice Address175 Fontainebleau Blvd, Suite 2g12, Miami, FL 33172-7018(305) 220-7550PECOS EnrollmentBased on the most recent information from CMS, provider Park Plaza Supplies Corp 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 ID1932271087Provider TypeOrganizationFull NamePark Plaza Supplies CorpSubpartNoEnumeration Date11/14/2006Last Updated2/4/2008Contact InformationPractice LocationPractice Address175 Fontainebleau Blvd, Suite 2g12, Miami, FL 33172-7018Phone(305) 220-7550Fax(305) 220-7499Mailing LocationMailing Address175 Fontainebleau Blvd, Suite 2g12, Miami, FL 33172-7018Phone(305) 220-7550Fax(305) 220-7499Authorized OfficialNamePichs, Daniel (President)Phone(305) 220-7550Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseNOT REQ FOR PRV TYPEFlorida