Organization
JERONIMO'S MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO S GOMEZ (PRESIDENT)
(305) 482-0254
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST # 14 AB, DORAL, FL 33166-6671
(305) 482-0255
(305) 482-0254
Mailing address
8181 NW 36TH ST # 14 AB, DORAL, FL 33166-6671
(305) 482-0255
(305) 482-0254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2005-6212
FL
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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