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Organization

MEDOQUIP CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JESSICA HERNANDEZ (PRESIDENT)
(954) 989-3456
Entity
Organization

Contact information

Practice address
902 A NORTH 30TH ROAD, HOLLYWOOD, FL 33021
(954) 989-3456
(954) 989-3327
Mailing address
902 A NORTH 30TH ROAD, HOLLYWOOD, FL 33021
(954) 989-3456
(954) 989-3327

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1328
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022715300
FL
01
R9181
BLUE CROSS
FL
Enumeration date
11/15/2006
Last updated
03/28/2012
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