# PROMED MEDICAL SUPPLIES INC

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

## Provider details

- **NPI number:** 1861950149
- **Authorized official:** RAFAEL ISKHAKOV (PRESIDENT)
- **Authorized official phone:** (305) 428-2048

## Contact information

- **Practice address:** 1400 NE MIAMI GARDENS DR STE 206B, NORTH MIAMI BEACH, FL 33179-4840
- **Practice address phone:** (305) 428-2048
- **Practice address fax:** (888) 600-9557
- **Mailing address:** 1400 NE MIAMI GARDENS DR STE 206B, NORTH MIAMI BEACH, FL 33179-4840
- **Mailing address phone:** (305) 428-2048
- **Mailing address fax:** (888) 600-9557

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 03/06/2019