# JOC MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1114968161
- **Authorized official:** JOEL CAMPUSANO (PRESIDENT)
- **Authorized official phone:** (786) 318-1443

## Contact information

- **Practice address:** 8021 NW 22ND AVE, MIAMI, FL 33147-4907
- **Practice address phone:** (786) 318-1443
- **Practice address fax:** (786) 318-1344
- **Mailing address:** 8021 NW 22ND AVE, MIAMI, FL 33147-4907
- **Mailing address phone:** (786) 318-1443
- **Mailing address fax:** (786) 318-1344

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020