Organization
KAYSER MEDICAL EQUIPMENT CORP
Active
Other names
PROHEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON J RODRIGUEZ (OWNER)
(305) 267-6733
Entity
Organization
Contact information
Practice address
8177 SW 40TH ST, SUITE 101, MIAMI, FL 33155-6746
(305) 267-6733
(305) 267-5122
Mailing address
8177 SW 40TH ST, SUITE 101, MIAMI, FL 33155-6746
(305) 267-6733
(305) 267-5122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH22765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095707
OTHER ID NUMBER
—
Enumeration date
02/02/2007
Last updated
12/22/2008
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