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Organization

ALI'S MEDICAL SUPPLY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AILE RODRIGUEZ (PRESIDENT)
(305) 264-9424
Entity
Organization

Contact information

Practice address
6744 W FLAGLER ST, MIAMI, FL 33144-2924
(305) 264-9424
(305) 264-9427
Mailing address
6744 W FLAGLER ST, MIAMI, FL 33144-2924
(305) 264-9424
(305) 264-9427

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1313352
AHCA
FL
01
326590
OXYGEN RETAILER
FL
01
M2840
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/07/2007
Last updated
04/15/2008
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