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Organization
SPORTS MED INNOVATIONS INC
Active
Organization
SPORTS MED INNOVATIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GABRIEL MACIAS (PRESIDENT)
(305) 234-7788
Entity
Organization
Contact information
Practice address
717 PONCE DE LEON BLVD, SUITE 221, CORAL GABLES, FL 33134-2060
(305) 234-7788
(305) 969-9274
Mailing address
717 PONCE DE LEON BLVD, STE 221, CORAL GABLES, FL 33134-2060
(305) 234-7788
(305) 969-9274
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6047450001
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
05/30/2007
Last updated
04/14/2009
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