# HAMILTON STATE INC

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

## Provider details

- **NPI number:** 1629840749
- **Authorized official:** GILBERTO DIAZ SAN QUINTIN (OWNER)
- **Authorized official phone:** (954) 251-2854

## Contact information

- **Practice address:** 2001 TYLER ST STE 208, HOLLYWOOD, FL 33020-4578
- **Practice address phone:** (954) 251-2854
- **Mailing address:** 2001 TYLER ST STE 208, HOLLYWOOD, FL 33020-4578

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 12/20/2023
