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Organization
VIRGINIA SUPPLIES CORP.
Active
Organization
VIRGINIA SUPPLIES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GUTIERREZ-GOMEZ (PRESIDENT)
(305) 871-2570
Entity
Organization
Contact information
Practice address
6555 NW 36TH ST, SUITE 320, VIRGINIA GARDENS, FL 33166-6978
(305) 871-2570
(305) 871-2568
Mailing address
6555 NW 36TH ST, SUITE 320, VIRGINIA GARDENS, FL 33166-6978
(305) 871-2570
(305) 871-2574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TO BE ISSUED
FL
Other
Enumeration date
02/27/2007
Last updated
11/28/2007
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