# MANNY'S MEDICAL SUPPLIES,INC.

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

## Provider details

- **NPI number:** 1821152158
- **Authorized official:** MIKE C GONZALEZ (PRESIDENT)
- **Authorized official phone:** (786) 344-1349

## Contact information

- **Practice address:** 2262 NW 94TH AVE, DORAL, FL 33172-2333
- **Practice address phone:** (305) 436-1144
- **Practice address fax:** (305) 436-1188
- **Mailing address:** 2262 NW 94TH AVE, DORAL, FL 33172-2333
- **Mailing address phone:** (305) 436-1144
- **Mailing address fax:** (305) 436-1188

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020