# SECROL 440 MED INC

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

## Provider details

- **NPI number:** 1578211256
- **Authorized official:** JOSE A RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (786) 564-2264

## Contact information

- **Practice address:** 3500 NW 114TH AVE STE 221, DORAL, FL 33178-1841
- **Practice address phone:** (786) 564-2264
- **Mailing address:** 3500 NW 114TH AVE STE 221, DORAL, FL 33178-1841
- **Mailing address phone:** (786) 564-2264

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2022
- **Last updated:** 03/11/2024