Organization
MIAMI ORTHOTIC & MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GUILLEN (PRESIDENT)
(786) 666-0478
Entity
Organization
Contact information
Practice address
2300 W 84TH ST STE 210, HIALEAH, FL 33016-5772
(786) 666-0478
Mailing address
2300 W 84TH ST STE 210, HIALEAH, FL 33016-5772
(786) 666-0478
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3371
NUMB
FL
Enumeration date
02/24/2021
Last updated
02/24/2021
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