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Organization
MEDMED 33313 CORP
Active
Organization
MEDMED 33313 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS M REYES FUNDORA (OWNER/AUTHORIZED OFFICILA)
(954) 440-2919
Entity
Organization
Contact information
Practice address
8358 W OAKLAND PARK BLVD STE 203D, SUNRISE, FL 33351-7341
(305) 559-8669
Mailing address
8358 W OAKLAND PARK BLVD STE 203D, SUNRISE, FL 33351-7341
(954) 440-2919
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/25/2023
Last updated
10/05/2023
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