# PROFESSIONAL MEDICAL SUPPLIES, INC.

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

## Provider details

- **NPI number:** 1326092875
- **Authorized official:** MR. JOSE A. RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (954) 430-5638

## Contact information

- **Practice address:** 16363 NW 16TH ST, PEMBROKE PINES, FL 33028-1225
- **Practice address phone:** (954) 430-5638
- **Practice address fax:** (954) 430-5988
- **Mailing address:** 16363 NW 16TH ST, PEMBROKE PINES, FL 33028-1225
- **Mailing address phone:** (954) 430-5638
- **Mailing address fax:** (954) 430-5988

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020