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Organization
HAMILTON STATE INC
Active
Organization
HAMILTON STATE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO DIAZ SAN QUINTIN (OWNER)
(954) 251-2854
Entity
Organization
Contact information
Practice address
2001 TYLER ST STE 208, HOLLYWOOD, FL 33020-4578
(954) 251-2854
Mailing address
2001 TYLER ST STE 208, HOLLYWOOD, FL 33020-4578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/23/2023
Last updated
12/20/2023
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