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Organization
SOUTH MEDICAL SUPPLY INC
Active
Organization
SOUTH MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE G PIRELA (PRESIDENT)
(786) 515-5997
Entity
Organization
Contact information
Practice address
12912 SW 133RD CT, SUITE A, MIAMI, FL 33186-5806
(305) 232-7892
(305) 232-7032
Mailing address
12912 SW 133RD CT, SUITE A, MIAMI, FL 33186-5806
(305) 232-7892
(305) 232-7032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
10/30/2007
Last updated
09/25/2008
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