# DE PASO MEDICAL SUPPLY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023907573
- **Authorized official:** MARCUS JEAN (CEO)
- **Authorized official phone:** (305) 761-7662

## Contact information

- **Practice address:** 934 N MAGNOLIA AVE \# 101, ORLANDO, FL 32803-3840
- **Practice address phone:** (407) 704-1076
- **Practice address fax:** (407) 610-5353
- **Mailing address:** 934 N MAGNOLIA AVE \# 101, ORLANDO, FL 32803-3840
- **Mailing address phone:** (407) 704-1076
- **Mailing address fax:** (407) 610-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2025
- **Last updated:** 06/30/2025