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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