# IMAGE MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1629087853
- **Authorized official:** ROANNI CARRASCO (PRESIDENT)
- **Authorized official phone:** (305) 823-3683

## Contact information

- **Practice address:** 1840 W 49TH ST, 711, HIALEAH, FL 33012-2942
- **Practice address phone:** (305) 823-3682
- **Practice address fax:** (305) 823-3682
- **Mailing address:** 1840 W 49TH ST, 711, HIALEAH, FL 33012-2942
- **Mailing address phone:** (305) 823-3682
- **Mailing address fax:** (305) 823-3682

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020