Organization
MMA MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMARILYS RODRIGUEZ (PRESIDENT)
(786) 290-9908
Entity
Organization
Contact information
Practice address
2450 SW 137TH AVE, SUITE 212, MIAMI, FL 33175-8802
(305) 221-3232
(305) 221-3536
Mailing address
2450 SW 137TH AVE, SUITE 212, MIAMI, FL 33175-8802
(305) 221-3232
(305) 221-3536
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1294
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
32 02474
FL
Other
Enumeration date
07/10/2006
Last updated
11/19/2007
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