Organization
TAJOSE LLC
Active
Other names
HEART MED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MARQUEZ (OFFICE MANAGER)
(305) 594-9899
Entity
Organization
Contact information
Practice address
2351 NW 93 AVENUE SUITE A, DORAL, FL 33172-4811
(305) 594-9899
(305) 594-9821
Mailing address
2351 NW 93 AVENUE SUITE A, DORAL, FL 33172-4811
(305) 594-9899
(305) 594-9821
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5465710001
FL
Other
Enumeration date
06/29/2006
Last updated
07/16/2008
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