Organization
DIRECT MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE LOIUES DEZINE (OWNER)
(305) 993-9474
Entity
Organization
Contact information
Practice address
325 NW 130TH ST, NORTH MIAMI, FL 33168-3707
(305) 993-9474
Mailing address
325 NW 130TH ST, NORTH MIAMI, FL 33168-3707
(305) 993-9474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
04/16/2021
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