# TEBAR MEDICAL SUPPLIES & EQUIPMENT, INC.

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

## Provider details

- **NPI number:** 1912945940
- **Authorized official:** MR. THERESA BARROSO (PRESIDENT)
- **Authorized official phone:** (305) 382-0510

## Contact information

- **Practice address:** 14341 SW 120TH ST, SUITE 102, MIAMI, FL 33186-7032
- **Practice address phone:** (305) 382-0510
- **Practice address fax:** (305) 382-0520
- **Mailing address:** 14341 SW 120TH ST, SUITE 102, MIAMI, FL 33186-7032
- **Mailing address phone:** (305) 382-0510
- **Mailing address fax:** (305) 382-0520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | AHCA 2087 | FL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | FL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | OXYGEN 32:03324 | FL | — |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 11/11/2011