Med Miami88 INC
Durable Medical Equipment & Medical Supplies in Miami, FL. Organization (NPI-2).
NPI number1053172007
StatusActive
Last updated in NPPESJan 17, 2024
Details
- NPI
- 1053172007
- Entity type
- Organization (NPI-2)
- Legal business name
- Med Miami88 INC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2024
- Certification date
- Jan 17, 2024
- Last updated
- Jan 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
8785 Sw 165th Ave # 106-6Miami, FL 33193-5826
Phone 786-416-4867
Mailing address
8785 Sw 165th Ave # 106-6Miami, FL 33193-5826
Phone 786-416-4867
Authorized official
Raidel Rodriguez Fajardo
Owner
7864164867
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