Organization
PHENOMENAL CARE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SAID MOHAM ABOELFADEL (OWNER)
(689) 286-0383
Entity
Organization
Contact information
Practice address
7628 N 56TH ST STE 16, TAMPA, FL 33617-7732
(689) 286-0383
Mailing address
7628 N 56TH ST STE 16, TAMPA, FL 33617-7732
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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