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Organization
WELLCARE DIABETIC & MEDICAL SUPPLIES
Active
Organization
WELLCARE DIABETIC & MEDICAL SUPPLIES
Active
Other names
Prestab Co
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXIS BASULTO (PRESIDENT)
(305) 245-0220
Entity
Organization
Contact information
Practice address
28400 S DIXIE HWY, HOMESTEAD, FL 33033-1211
(305) 245-0220
(305) 245-0210
Mailing address
PO BOX 831225, MIAMI, FL 33283-1225
(305) 245-0220
(305) 245-0210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
647751-7
FL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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