4851 Medical Services Corp.
Durable Medical Equipment & Medical Supplies in Sunrise, FL. Organization (NPI-2).
NPI number1982257002
StatusActive
Last updated in NPPESJun 26, 2020
Details
- NPI
- 1982257002
- Entity type
- Organization (NPI-2)
- Legal business name
- 4851 Medical Services Corp.
- Organization subpart
- No
- Enumeration date
- Jul 17, 2019
- Certification date
- Jun 26, 2020
- Last updated
- Jun 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
4851 Nw 103rd Ave Ste 45Sunrise, FL 33351-7989
Phone 754-332-2958
Mailing address
4851 Nw 103rd Ave Ste 45Sunrise, FL 33351-7989
Phone 754-332-2958
Authorized official
Gladys Diana Asterino Santa Cruz
Owner
7543322958
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