# MMA MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1184657116
- **Authorized official:** MS. AMARILYS RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (786) 290-9908

## Contact information

- **Practice address:** 2450 SW 137TH AVE, SUITE 212, MIAMI, FL 33175-8802
- **Practice address phone:** (305) 221-3232
- **Practice address fax:** (305) 221-3536
- **Mailing address:** 2450 SW 137TH AVE, SUITE 212, MIAMI, FL 33175-8802
- **Mailing address phone:** (305) 221-3232
- **Mailing address fax:** (305) 221-3536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1294 | FL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | FL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 32 02474 | FL | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 11/19/2007