# MIAMI ORTHOTIC & MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1275127888
- **Authorized official:** DANIEL GUILLEN (PRESIDENT)
- **Authorized official phone:** (786) 666-0478

## Contact information

- **Practice address:** 2300 W 84TH ST STE 210, HIALEAH, FL 33016-5772
- **Practice address phone:** (786) 666-0478
- **Mailing address:** 2300 W 84TH ST STE 210, HIALEAH, FL 33016-5772
- **Mailing address phone:** (786) 666-0478

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 02/24/2021