# PP MEDICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1780703504
- **Authorized official:** MR. IVAN PERALTA (PRESIDENT)
- **Authorized official phone:** (305) 876-0076

## Contact information

- **Practice address:** 6595 NW 36TH ST, SUITE 109, VIRGINIA GARDENS, FL 33166-6979
- **Practice address phone:** (305) 876-0076
- **Practice address fax:** (305) 876-9165
- **Mailing address:** 6595 NW 36TH ST, SUITE 109, VIRGINIA GARDENS, FL 33166-6979
- **Mailing address phone:** (305) 876-0076
- **Mailing address fax:** (305) 876-9165

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020