# WASHINGTON MEDCIAL SUPPLY, CORP.

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

## Provider details

- **NPI number:** 1699879890
- **Authorized official:** MS. IVONNE E HEREDIA (PRESIDENT)
- **Authorized official phone:** (305) 821-4395

## Contact information

- **Practice address:** 900 W 49TH ST, SUITE 315, HIALEAH, FL 33012-3402
- **Practice address phone:** (305) 821-4395
- **Mailing address:** 900 W 49TH ST, SUITE 315, HIALEAH, FL 33012-3402
- **Mailing address phone:** (305) 821-4395

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 03/17/2008