Organization
DIVERSIFIED DME & SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA R LACA (PRESIDENT)
(305) 269-3838
Entity
Organization
Contact information
Practice address
1700 S RED RD, SUITE 209, MIAMI, FL 33155-2163
(305) 269-3838
(305) 296-4141
Mailing address
1700 S RED RD, SUITE 209, MIAMI, FL 33155-2163
(305) 269-3838
(305) 296-4141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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