Organization
FLORIDIAN MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN PABLO DIMMER (PRESIDENT)
(305) 944-1223
Entity
Organization
Contact information
Practice address
1140 NE 163RD ST, 23, NORTH MIAMI BEACH, FL 33162-4517
(305) 944-1223
(305) 944-1223
Mailing address
1140 NE 163RD ST, 23, NORTH MIAMI BEACH, FL 33162-4517
(305) 944-1223
(305) 944-1223
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
32:03457
FL
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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