Organization
MAYETA ENTERPRISE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXEY HERNANADEZ (PRESIDENT)
(786) 597-2350
Entity
Organization
Contact information
Practice address
16300 NE 19TH AVE STE 243, NORTH MIAMI BEACH, FL 33162-4898
(786) 597-2350
Mailing address
16300 NE 19TH AVE STE 243, NORTH MIAMI BEACH, FL 33162-4898
(786) 597-2350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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