# RED ROAD MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1710910096
- **Authorized official:** MARITZA TIA (PRESIDENT)
- **Authorized official phone:** (305) 269-9347

## Contact information

- **Practice address:** 1700 SW 57 AVE, \# 218, MIAMI, FL 33155
- **Practice address phone:** (305) 269-9347
- **Mailing address:** 1700 SW 57 AVE, \# 218, MIAMI, FL 33155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 603412-8 | FL | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020