# FLORIDA MEDICAL SUPPLY CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679669170
- **Authorized official:** ADONIS MONTALVO (PRESIDENT)
- **Authorized official phone:** (786) 423-6337

## Contact information

- **Practice address:** 3900 NW 79TH AVE, 593, DORAL, FL 33166-6556
- **Practice address phone:** (786) 423-6337
- **Practice address fax:** (305) 480-7666
- **Mailing address:** 3900 NW 79TH AVE, 593, DORAL, FL 33166-6556
- **Mailing address phone:** (786) 423-6337
- **Mailing address fax:** (305) 480-7666

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 07/21/2022