Organization
INTERCOASTAL MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRENIA SOLER HERNANDEZ (OWNER)
(786) 353-2834
Entity
Organization
Contact information
Practice address
1840 W 49TH ST STE 731, HIALEAH, FL 33012-2973
(786) 353-2834
Mailing address
1840 W 49TH ST STE 731, HIALEAH, FL 33012-2973
(786) 353-2834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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