Ito Medical, LLC
Durable Medical Equipment & Medical Supplies in Miami, FL. Organization (NPI-2).
NPI number1164040598
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1164040598
- Entity type
- Organization (NPI-2)
- Legal business name
- Ito Medical, LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 302F00000X | Exclusive Provider Organization | – | – | |
| 302R00000X | Health Maintenance Organization | – | – | |
| 305R00000X | Preferred Provider Organization | – | – | |
| 305S00000X | Point of Service | – | – |
Practice location
79 Sw 12th St Apt 1511Miami, FL 33130-5203
Phone 610-247-2698
Mailing address
79 Sw 12th St Apt 1511Miami, FL 33130-5203
Phone 610-247-2698
Authorized official
Oliver David Garcia
Partner
6102472698
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