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Organization
MAMA'S ON WHEELS LLC
Active
Organization
MAMA'S ON WHEELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORJA FABREGAS (CEO)
(305) 395-8099
Entity
Organization
Contact information
Practice address
111 SW 3RD ST STE PH, MIAMI, FL 33130-1926
(305) 395-8099
Mailing address
111 SW 3RD ST STE PH, MIAMI, FL 33130-1926
(305) 395-8099
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
NULL
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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