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Organization
ST. PETER MEDICAL SUPPLY CORP
Active
Organization
ST. PETER MEDICAL SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON ULLOA (PRESIDENT)
(786) 409-7698
Entity
Organization
Contact information
Practice address
2450 SW 137TH AVE STE 218, MIAMI, FL 33175-6332
(786) 409-7698
Mailing address
2450 SW 137TH AVE STE 218, MIAMI, FL 33175-6332
(786) 409-7698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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