# CRISTO MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1447874979
- **Authorized official:** WILLIAM ADOMANIS (OWNER)
- **Authorized official phone:** (561) 566-9165

## Contact information

- **Practice address:** 4020 S 57TH AVE STE 102, GREENACRES, FL 33463-4302
- **Practice address phone:** (561) 566-9165
- **Practice address fax:** (844) 640-0683
- **Mailing address:** 4020 S 57TH AVE STE 102, GREENACRES, FL 33463-4302
- **Mailing address phone:** (561) 566-9165
- **Mailing address fax:** (844) 640-0683

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 06/25/2021
