# CORAL MED SUPPLY INC

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

## Provider details

- **NPI number:** 1801276100
- **Authorized official:** ROBERTO NODARCE MOREJON (PRESIDENT)
- **Authorized official phone:** (305) 438-6145

## Contact information

- **Practice address:** 3446 SW 8TH ST, SUITE 209, MIAMI, FL 33135-4145
- **Practice address phone:** (305) 438-6145
- **Practice address fax:** (305) 602-8919
- **Mailing address:** 3446 SW 8TH ST, SUITE 209, MIAMI, FL 33135-4145
- **Mailing address phone:** (305) 438-6145
- **Mailing address fax:** (305) 602-8919

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 11/05/2015
