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Organization
THE MEDICARE SHOPPE INCORPORATED
Active
Organization
THE MEDICARE SHOPPE INCORPORATED
Active
Other names
The Medicare Shoppe.com
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ANDRES FERNANDEZ CERTIFIED ORTHOTIST (PRESIDENT / PROGRAM DIRECTOR)
(305) 693-3544
Entity
Organization
Contact information
Practice address
3013 E 4TH AVE, HIALEAH, FL 33013-3210
(305) 693-3544
(305) 693-3519
Mailing address
3013 E 4TH AVE, HIALEAH, FL 33013-3210
(305) 693-3544
(305) 693-3519
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1222810001
FL
333600000X
Pharmacy
PH16014
FL
Other
Enumeration date
07/05/2005
Last updated
09/11/2025
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