Organization
NEW SAMPLE 33 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO ROSALES (AUTHORIZED OFFICIAL)
(754) 812-1653
Entity
Organization
Contact information
Practice address
10191 W SAMPLE RD STE 204, CORAL SPRINGS, FL 33065-3903
(754) 812-1653
Mailing address
10191 W SAMPLE RD STE 204, CORAL SPRINGS, FL 33065-3903
(754) 812-1653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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