Sam Medical Supply Corp.
Durable Medical Equipment & Medical Supplies in Hialeah, FL. Organization (NPI-2).
NPI number1073554259
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1073554259
- Entity type
- Organization (NPI-2)
- Legal business name
- Sam Medical Supply Corp.
- Organization subpart
- No
- Enumeration date
- Jun 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
3750 W 16th AveHialeah, FL 33012-4662
Phone 786-313-0046 · Fax 786-313-0046
Mailing address
3750 W 16th AveHialeah, FL 33012-4662
Phone 786-313-0046 · Fax 786-313-0046
Authorized official
Samuel Neptali Rodriguez
Owner
7863130046
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