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Organization
TAMARA MEDICAL SUPPLY, CORP.
Active
Organization
TAMARA MEDICAL SUPPLY, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA VIQUILLON (PRESIDENT)
(786) 301-1571
Entity
Organization
Contact information
Practice address
12350 SW 132ND CT, SUITE 203, MIAMI, FL 33186-6456
(786) 301-1571
Mailing address
12350 SW 132ND CT, SUITE 203, MIAMI, FL 33186-6456
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
648
FL
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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