Organization
PEDIATRIC SUPPLIER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JUNCO JR. (PRESIDENT)
(305) 969-3484
Entity
Organization
Contact information
Practice address
13482 SW 131ST ST, MIAMI, FL 33186-5891
(305) 969-3484
(305) 969-3482
Mailing address
13482 SW 131ST ST, MIAMI, FL 33186-5891
(305) 969-3484
(305) 969-3482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031113800
—
FL
Enumeration date
06/04/2006
Last updated
02/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us