Organization
MIRACLE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYDEL FONTE (PRESIDENT)
(305) 265-1777
Entity
Organization
Contact information
Practice address
777 NW 72ND STREET, SUITE #3151, MIAMI, FL 33126
(305) 265-1777
Mailing address
777 NW 72ND STREET, SUITE #3151, MIAMI, FL 33126
(305) 265-1777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/31/2008
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