Organization
MED MIAMI88 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIDEL RODRIGUEZ FAJARDO (OWNER)
(786) 416-4867
Entity
Organization
Contact information
Practice address
8785 SW 165TH AVE # 106-6, MIAMI, FL 33193-5826
(786) 416-4867
Mailing address
8785 SW 165TH AVE # 106-6, MIAMI, FL 33193-5826
(786) 416-4867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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