# MAMA'S ON WHEELS LLC

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

## Provider details

- **NPI number:** 1376203505
- **Authorized official:** MR. BORJA FABREGAS (CEO)
- **Authorized official phone:** (305) 395-8099

## Contact information

- **Practice address:** 111 SW 3RD ST STE PH, MIAMI, FL 33130-1926
- **Practice address phone:** (305) 395-8099
- **Mailing address:** 111 SW 3RD ST STE PH, MIAMI, FL 33130-1926
- **Mailing address phone:** (305) 395-8099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335G00000X | Medical Foods Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2021
- **Last updated:** 12/29/2021