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Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition

Provider NPI: 1750391751

Organization Information:
Organization is not Subpart
Authorized Official:  ROLANDO L MEDINA  CHIEF EXECUTIVE OFFICER  305-238-8088

Practice Location:
13985 SW 140TH ST  MIAMI, FL 33186 US
Tel: 305-238-8088  Fax: 305-238-4776

Business Mailing Address:
13985 SW 140TH ST  MIAMI, FL 33186 US
Tel: 305-238-8088  Fax: 305-238-4776

NPI Information:
NPI: 1750391751
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 332B00000X





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