# THERA-DIAGNOSTICS AND MEDICAL SUPPLIES, INC.

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

## Provider details

- **NPI number:** 1629226048
- **Authorized official:** MR. HAROLD HIRSCHENSON (OWNER/PRESIDENT)
- **Authorized official phone:** (786) 525-8167

## Contact information

- **Practice address:** 17555 COLLINS AVE, SUNNY ISLES BEACH, FL 33160-2882
- **Practice address phone:** (786) 525-8167
- **Practice address fax:** (954) 983-1929
- **Mailing address:** 17555 COLLINS AVE, SUNNY ISLES BEACH, FL 33160-2882
- **Mailing address phone:** (786) 525-8167
- **Mailing address fax:** (954) 983-1929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | P94000059383 | FL | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 08/28/2008