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Organization
MIAMI MEDICAL LLC
Active
Organization
MIAMI MEDICAL LLC
Active
Other names
Miami Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO MUSTELIER VIDAL (PRESIDENT)
(954) 241-4340
Entity
Organization
Contact information
Practice address
4503 NW 103RD AVE STE 103, SUNRISE, FL 33351-7981
(305) 299-7126
Mailing address
4503 NW 103RD AVE STE 103, SUNRISE, FL 33351-7981
(954) 241-4340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/27/2020
Last updated
09/07/2022
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