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Organization
ABC MEDICAL SUPPLY, INC.
Active
Organization
ABC MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM CARMONA (PRESIDENT)
(305) 266-4651
Entity
Organization
Contact information
Practice address
7821 CORAL WAY, SUITE 129, MIAMI, FL 33155-6542
(305) 266-4651
(305) 262-3988
Mailing address
7821 CORAL WAY, SUITE 129, MIAMI, FL 33155-6542
(305) 266-4651
(305) 262-3988
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9079
DURABLE MEDICAL EQUIPMENT
FL
Enumeration date
08/17/2005
Last updated
01/20/2012
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