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Organization
ITO MEDICAL, LLC
Active
Organization
ITO MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLIVER DAVID GARCIA (PARTNER)
(610) 247-2698
Entity
Organization
Contact information
Practice address
79 SW 12TH ST APT 1511, MIAMI, FL 33130-5203
(610) 247-2698
Mailing address
79 SW 12TH ST APT 1511, MIAMI, FL 33130-5203
(610) 247-2698
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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