# M.B.M MEDICAL SUPPLY, INC

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

## Provider details

- **NPI number:** 1386671360
- **Authorized official:** MRS. BERTA MEJIAS (PRESIDENTE)
- **Authorized official phone:** (954) 965-9173

## Contact information

- **Practice address:** 6363 TAFT ST, SUITE 311, HOLLYWOOD, FL 33024-5962
- **Practice address phone:** (954) 965-9173
- **Practice address fax:** (954) 965-9174
- **Mailing address:** 6363 TALFT STREET, SUITE 311, HOLLYWOOD, FL 33024
- **Mailing address phone:** (954) 965-9173
- **Mailing address fax:** (954) 965-9174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1312387 | FL | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020