# MD & J MEDICAL SUPPLY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164530341
- **Authorized official:** MIGDALIA DIAZ (PRESIDENT)
- **Authorized official phone:** (786) 394-8009

## Contact information

- **Practice address:** 215 SW 17TH AVE, 309, MIAMI, FL 33135-3689
- **Practice address phone:** (786) 394-8009
- **Practice address fax:** (786) 394-6995
- **Mailing address:** 215 SW 17TH AVE, 309, MIAMI, FL 33135-3689
- **Mailing address phone:** (786) 394-8009
- **Mailing address fax:** (786) 394-6995

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 08/22/2020