# KRYSTAL BAY INC

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

## Provider details

- **NPI number:** 1972232494
- **Authorized official:** ALFREDO GOMEZ PEREZ (PRESIDENT)
- **Authorized official phone:** (305) 260-0025

## Contact information

- **Practice address:** 777 NW 72ND AVE STE 2102, MIAMI, FL 33126-3182
- **Practice address phone:** (786) 428-7521
- **Mailing address:** 777 NW 72ND AVE STE 2102, MIAMI, FL 33126-3182

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2022
- **Last updated:** 05/23/2023