# HOME MED SUPPLY LLC

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

## Provider details

- **NPI number:** 1902413578
- **Authorized official:** STELLA M CRISMANICH (AMBR)
- **Authorized official phone:** (786) 930-4617

## Contact information

- **Practice address:** 2450 SW 137TH AVE STE 202, MIAMI, FL 33175-6312
- **Practice address phone:** (786) 930-4617
- **Mailing address:** 2450 SW 137TH AVE STE 202, MIAMI, FL 33175-6312
- **Mailing address phone:** (786) 930-4617

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 12/23/2020