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Organization
POINCIANA MEDICAL SUPPLIES LLC
Active
Organization
POINCIANA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR L RODRIGUEZ BA (DIRECTOR)
(407) 350-4138
Entity
Organization
Contact information
Practice address
105 E MONUMENT AVE, KISSIMMEE, FL 34741-5761
(407) 350-4138
(321) 250-4309
Mailing address
PO BOX 452848, KISSIMMEE, FL 34745-2848
(407) 350-4138
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/17/2022
Last updated
01/11/2023
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