Organization
MY TOWN MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDROS RODRIGUEZ CAPOTE (PRESIDENT)
(549) 765-6856
Entity
Organization
Contact information
Practice address
10 S NEW RIVER DR E STE 105, FORT LAUDERDALE, FL 33301-2810
(954) 765-6856
(954) 208-9037
Mailing address
10 S NEW RIVER DR E STE 105, FORT LAUDERDALE, FL 33301-2810
(954) 765-6856
(954) 208-9037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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