Organization
WATSON AVENUE DURA MED
Active
Other names
DME ON WHEELS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PELAYO MENDEZ (OWNER)
(305) 898-0777
Entity
Organization
Contact information
Practice address
10112 NW 53RD ST, SUNRISE, FL 33351-8020
(954) 742-8640
(954) 742-8649
Mailing address
10112 NW 53RD ST, SUNRISE, FL 33351-8020
(954) 742-8640
(954) 742-8649
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
FL
Other
Enumeration date
06/07/2007
Last updated
07/21/2022
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