# ABC MEDICAL & SURGICAL SALES

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

## Provider details

- **NPI number:** 1245225374
- **Authorized official:** MRS. OMAIRA ROURA (PRESIDENT)
- **Authorized official phone:** (407) 846-8089

## Contact information

- **Practice address:** 2100 MICHIGAN AVE, KISSIMMEE, FL 34744-2927
- **Practice address phone:** (407) 846-8089
- **Practice address fax:** (407) 846-6543
- **Mailing address:** 2100 MICHIGAN AVE, KISSIMMEE, FL 34744-2927
- **Mailing address phone:** (407) 846-8089
- **Mailing address fax:** (407) 846-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1312092 | FL | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 08/22/2020
