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Organization
INTERMED EQUIPMENT SUPPLIES
Active
Organization
INTERMED EQUIPMENT SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA PUELLO (PRESIDENT)
(305) 871-4644
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST, STE 224, VIRGINIA GARDENS, FL 33166-6979
(305) 871-4644
(305) 825-3810
Mailing address
6595 NW 36TH ST, STE 224, VIRGINIA GARDENS, FL 33166-6979
(305) 871-4644
(305) 825-3810
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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