Organization
TEODULO EQUIPMENT @ ORTHOPEDIC SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEODULO C OLMO (PRESIDENT)
(305) 558-5700
Entity
Organization
Contact information
Practice address
4355 W 16TH AVE, SUITE 203B, HIALEAH, FL 33012-7666
(305) 558-5700
(305) 558-5085
Mailing address
4355 W 16TH AVE, SUITE 203B, HIALEAH, FL 33012-7666
(305) 558-5700
(305) 558-5085
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
32 02370
FL
Other
Enumeration date
11/05/2005
Last updated
08/22/2020
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