Organization
INDIGO MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO GARRA (PRESIDENT)
(305) 263-2420
Entity
Organization
Contact information
Practice address
5927 SW 8TH ST, WEST MIAMI, FL 33144-5037
(305) 263-2420
Mailing address
5927 SW 8TH ST, WEST MIAMI, FL 33144-5037
(305) 263-2420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH21873
FL
Other
Enumeration date
05/18/2006
Last updated
06/23/2008
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