Organization
MEDICAL SUPPLY SUPER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ANTHONY AMIRA (PRESIDENT)
(561) 771-1315
Entity
Organization
Contact information
Practice address
55 SE 2ND AVE, SUITE 120, DELRAY BEACH, FL 33444-3615
(561) 771-1713
(561) 245-8563
Mailing address
55 SE 2ND AVE, SUITE 120, DELRAY BEACH, FL 33444-3615
(561) 771-1713
(561) 245-8563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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