Organization
HERNANDEZ MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY HERNANDEZ (PRESIDENT)
(305) 558-7978
Entity
Organization
Contact information
Practice address
14505 COMMERCE WAY, SUITE 426, MIAMI LAKES, FL 33016-1597
(305) 558-7978
Mailing address
14505 COMMERCE WAY, SUITE 426, MIAMI LAKES, FL 33016-1597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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