1487751764 NPI number — FIVERA CONSULTING & MANAGEMENT SERVICES CORP

Table of content: PATRICK JOSPEH BYRNE M.D. (NPI 1396703591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487751764 NPI number — FIVERA CONSULTING & MANAGEMENT SERVICES CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIVERA CONSULTING & MANAGEMENT SERVICES CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CONFORT MEDICAL EQUIPMENTS SUPPLY SERVICES CORP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487751764
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8910 MIRAMAR PKWY
Provider Second Line Business Mailing Address:
SUITE 207
Provider Business Mailing Address City Name:
MIRAMAR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33025-4100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-677-2483
Provider Business Mailing Address Fax Number:
305-407-9562

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17355 SW 33RD CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIRAMAR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33029-2606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-442-1507
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
EZEWIKE
Authorized Official First Name:
FIDELIS
Authorized Official Middle Name:
I
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
305-491-4536

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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