Individual
JACK MITRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12150 SW 128TH CT STE 140, MIAMI, FL 33186-4673
(305) 878-2135
Mailing address
12150 SW 128TH CT STE 140, MIAMI, FL 33186-4673
(305) 878-2135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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