Organization
KEVIN ROSS SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONEIDA DIAZ LICEA (PRESIDENT)
(305) 232-2006
Entity
Organization
Contact information
Practice address
15715 S DIXIE HWY, SUITE 410, MIAMI, FL 33157-1800
(305) 232-2006
Mailing address
15715 S DIXIE HWY, SUITE 410, MIAMI, FL 33157-1800
(305) 232-2006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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