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Organization
MOUNT SION MEDICAL EQUIPMENT, INC
Active
Organization
MOUNT SION MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL FONSECA (PRESIDENT)
(305) 953-3530
Entity
Organization
Contact information
Practice address
12587 NW 7TH AVE, NORTH MIAMI, FL 33168-2619
(305) 953-3530
(305) 953-3531
Mailing address
12587 NW 7TH AVE, NORTH MIAMI, FL 33168-2619
(305) 953-3530
(305) 953-3531
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321711
OXYGEN RETAILER LICENSE
FL
01
—
787
AHCA
FL
05
—
950981000
—
FL
01
—
S16780
BOC
FL
Enumeration date
04/20/2006
Last updated
04/27/2011
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