Organization
LAURA MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA Y MARIN (PRESIDENT)
(305) 822-4040
Entity
Organization
Contact information
Practice address
5979 NW 151ST ST, SUITE 233, MIAMI LAKES, FL 33014-2400
(305) 822-4040
(305) 822-4006
Mailing address
5979 NW 151ST ST, SUITE 233, MIAMI LAKES, FL 33014-2400
(305) 822-4040
(305) 822-4006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313090
HME LICENSE
FL
01
—
23-8013467388-1
SALES AND USE TAX
FL
01
—
32 : 04699
OXYGEN LICENSE
FL
Enumeration date
08/20/2006
Last updated
08/22/2020
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