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Organization
SOUTHERN MEDICAL EQUIPMENT AND SUPPLIES LLC
Active
Organization
SOUTHERN MEDICAL EQUIPMENT AND SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANTHONY RUBERTI (MANAGING MEMBER)
(305) 722-6637
Entity
Organization
Contact information
Practice address
4715 NW 157TH ST STE 210, MIAMI LAKES, FL 33014-6425
(305) 722-6637
Mailing address
5375 NW 159TH ST UNIT 5396, MIAMI LAKES, FL 33014-8564
(305) 722-6637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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