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Organization

MED STAR MEDICAL SUPPLIES CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAINEL HERNANDEZ (PRESIDENT)
(305) 251-5255
Entity
Organization

Contact information

Practice address
12471 SW 130TH ST, SUITE B16, MIAMI, FL 33186-6236
(305) 251-5255
(305) 251-5057
Mailing address
12471 SW 130TH ST, SUITE B16, MIAMI, FL 33186-6236
(305) 251-5255
(305) 251-5057

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A FOR SUPPLIES
FL

Other

Enumeration date
11/04/2006
Last updated
11/21/2007
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